Individual provider Active NPI

Manuel Vogt, D.O.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1962849612
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q8666 Issued in TX
Practice address
414 Navarro St Ste 703
San Antonio, TX 78205-2515
Phone
(210) 224-4811
Fax
(210) 224-1573
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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 Q8666 TX Primary

Addresses

Primary practice location

414 Navarro St Ste 703
San Antonio, TX 78205-2515

Mailing address

414 Navarro St Ste 703
San Antonio, TX 78205-2515
Phone (210) 579-3645

Other practice location 1

250 E Basse Rd Ste 107
San Antonio, TX 78209-8409
Phone (210) 223-9617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 2, 2023 through Aug 2, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8666TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: manuel.vogt@627363910582276.direct.elationemr.com
  • Direct secure messaging: manuel.vogt@614449995186180.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1962849612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST STE 703",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052515",
            "telephone_number": "210-579-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST STE 703",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052515",
            "telephone_number": "210-224-4811",
            "fax_number": "210-224-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Basse Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782098409",
            "country_code": "US",
            "telephone_number": "210-223-9617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGT",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.