Individual provider Active NPI

Garrett K. Andersen, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1972579993
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K5443 Issued in TX
Practice address
8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900
Phone
(210) 616-7700
Fax
(210) 616-7709
NPI assigned
Feb 28, 2006
Last updated
Mar 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X K5443 TX
Diagnostic Radiology Physician 2085R0202X K5443 TX Primary

Addresses

Primary practice location

8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900

Mailing address

8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900
Phone (210) 616-7700

Other identifiers 4

IdentifierTypeStateIssuer
K5443OtherTXTEXAS MEDICAL LICENSE
157799101MedicaidTX
157799104MedicaidTX
157799103OtherTXCSHCN

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
I20100830000300 TX Practitioner - Diagnostic Radiology 3971687468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians
South Texas Radiology Imaging CentersGroup PAC ID 0547153512, 75 clinicians

Practice addresses (Care Compare)

1020 S State Hwy 16
Frederickburg, TX 78624-4471
Phone (830) 997-1268

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2901

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 617-9750

12602 Toepperwein Rd
Suite 101
Live Oak, TX 78233-3270
Phone (210) 617-9700

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2284

1905 E State Hwy 97
Jourdanton, TX 78026-1504
Phone (830) 769-3515

6700 W Ih
Suite 10
San Antonio, TX 78201-2009
Phone (210) 736-8400

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4343

801 N Bedell Ave
Del Rio, TX 78840-4112
Phone (830) 703-1745

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
83.48
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.09 of 100Reported as group
Quality
91.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5443TXMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince Jul 1, 2003 Accepting new patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Jul 1, 2003 Accepting new patients
South Texas MRI LTD Diagnostic Radiology Past Accepting new patients

Locations (25 of 36)

134 Menger Spgs
Ste 1110
Boerne, TX 78006
Phone (830) 816-9500

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

12602 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (201) 564-1560

12709 Toepperwein Rd
Ste 106
Live Oak, TX 78233
Phone (210) 617-9700

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

11923 Culebra Rd
Ste 201
San Antonio, TX 78253
Phone (210) 617-9660

1200 Brooklyn Ave
Ste 100
San Antonio, TX 78212
Phone (210) 208-2500

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

155 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-9500

18707 Hardy Oak Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-6520

1888 Nacogdoches Rd
San Antonio, TX 78209
Phone (210) 617-9920

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

414 Navarro St
Ste 1502
San Antonio, TX 78205
Phone (210) 271-1883

4411 Medical Dr
San Antonio, TX 78229
Phone (210) 575-4584

4458 Medical Dr
Ste 345
San Antonio, TX 78229
Phone (210) 617-9220

5307 Broadway
Ste 110
San Antonio, TX 78209

5510 Presidio Pkwy
Ste 2201B
San Antonio, TX 78249

5715 Rogers Rd
Ste 101
San Antonio, TX 78251
Phone (210) 617-9650

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1972579993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-616-7700",
            "fax_number": "210-616-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-616-7700",
            "fax_number": "210-616-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "GARRETT",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "K5443",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K5443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "K5443",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157799101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157799104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "157799103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.