NPIMap

Organization Active NPI

City of San Antonio Texas

  • State or Local Public Health Clinic/Center
  • San Antonio, TX
National Provider Identifier
1972661270
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CITY OF SAN ANTONIO TEXAS
Practice address
210 N Mel Waiters Way
San Antonio, TX 78202-3265
Phone
(210) 207-8894
NPI assigned
Dec 5, 2006
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Tiffany Haynes
Title
Billing and Coding Specialist
Phone
(210) 207-8689

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

210 N Mel Waiters Way
San Antonio, TX 78202-3265

Mailing address

100 W Houston St FL 14
San Antonio, TX 78205-1414
Phone (210) 207-8689

Other identifiers 1

IdentifierTypeStateIssuer
112818303MedicaidTX

Other names 1

  • City of San Antonio Metropolitan Health District Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050121000675 TX Part B Supplier - Clinic/Group Practice 2062461528 Receives reassigned benefits from 1 practitioner
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX
O20211101000769 TX Part B Supplier - Mass Immunization (Roster Biller Only) 2062461528 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Metropolitan Health District44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

1226 NW 18th St
San Antonio, TX 78207
Phone (210) 207-8894

210 N Mel Waiters Way
San Antonio, TX 78202
Phone (210) 207-8894

210 N Mel Waiters Way
Ste 1000
San Antonio, TX 78202
Phone (210) 207-8894

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1972661270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HOUSTON ST FL 14",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051414",
            "telephone_number": "210-207-8689",
            "fax_number": "210-207-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MEL WAITERS WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782023265",
            "telephone_number": "210-207-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAN ANTONIO TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BILLING AND CODING SPECIALIST",
        "authorized_official_telephone_number": "210-207-8689"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112818303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of San Antonio Metropolitan Health District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 3, 2023; 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.