Organization Active NPI

San Antonio Endocrinology and Diabetes Care PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • San Antonio, TX
National Provider Identifier
1952739187
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SAN ANTONIO ENDOCRINOLOGY AND DIABETES CARE PLLC
Practice address
11130 Christus Hills
Ste 101
San Antonio, TX 78251
Phone
(210) 352-5006
Fax
(210) 352-5016
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shahid Aziz, MDNPI 1063611697
Title
President
Phone
(210) 352-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

11130 Christus Hills
Ste 101
San Antonio, TX 78251

Mailing address

11130 Christus Hills
Ste 101
San Antonio, TX 78251
Phone (210) 352-5006

Other identifiers 2

IdentifierTypeStateIssuer
0020ZJOtherTXBCBS
327659401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131221000032 TX Part B Supplier - Clinic/Group Practice 0345477212 Receives reassigned benefits from 5 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

134 Menger Spgs
Ste 1210
Boerne, TX 78006
Phone (210) 495-8280

11212 State Highway 151
Ste 180
San Antonio, TX 78251
Phone (210) 521-7333

10818 Town Center Dr
San Antonio, TX 78251

11130 Christus Hls
San Antonio, TX 78251
Phone (210) 228-0044

10818 Town Center Dr
Ste 101
San Antonio, TX 78251
Phone (210) 352-5006

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIGFCA

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1952739187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 CHRISTUS HILLS",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-352-5006",
            "fax_number": "210-352-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 CHRISTUS HILLS",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-352-5006",
            "fax_number": "210-352-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO ENDOCRINOLOGY AND DIABETES CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-352-5006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0020ZJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327659401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.