Individual provider Active NPI

Robin Eickhoff, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1962474320
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8528 Issued in TX
Practice address
7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229-4037
Phone
(210) 614-7840
Fax
(210) 614-6421
NPI assigned
Feb 1, 2006
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8528 TX Primary

Addresses

Primary practice location

7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229-4037

Mailing address

7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229-4037
Phone (210) 614-7840

Other identifiers 2

IdentifierTypeStateIssuer
8G9081OtherTXWELLMED MEDICARE
141680209OtherTXWELLMED MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061121000128 TX Practitioner - Family Practice 3577561851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Wellmed Medical Group, PA Family Medicine Current Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jul 1, 2006 Accepting new patients

Locations

7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229
Phone (210) 614-7840

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1962474320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294037",
            "telephone_number": "210-614-7840",
            "fax_number": "210-614-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294037",
            "telephone_number": "210-614-7840",
            "fax_number": "210-614-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKHOFF",
        "first_name": "ROBIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "8G9081",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "141680209",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.