Individual provider Active NPI

Gregorio Elizondo Pedroza III, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1972500783
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3388 Issued in TX
Practice address
13750 San Pedro
Suite 140
San Antonio, TX 78232-4375
Phone
(210) 490-9087
Fax
(210) 496-1285
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3388 TX Primary

Addresses

Primary practice location

13750 San Pedro
Suite 140
San Antonio, TX 78232-4375

Mailing address

8637 Fredericksburg Rd
Suite 105
San Antonio, TX 78240-1283
Phone (210) 617-4708

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
I20170201000929 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2860676905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3388TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HMG Medical Group, P.a. Past Accepting new patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972500783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401283",
            "telephone_number": "210-617-4708",
            "fax_number": "210-617-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 SAN PEDRO",
            "address_2": "SUITE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324375",
            "telephone_number": "210-490-9087",
            "fax_number": "210-496-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "GREGORIO",
        "middle_name": "ELIZONDO",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.