Individual provider Active NPI

Renata B. Ford, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1972685907
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2009-02088 Issued in NC
Practice address
6800 W Ih 10 Ste 200
San Antonio, TX 78201-2041
Phone
(210) 519-5797
Fax
(210) 579-7027
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 41383 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2009-02088 NC Primary

Addresses

Primary practice location

6800 W Ih 10 Ste 200
San Antonio, TX 78201-2041

Mailing address

6800 W Ih 10 Ste 200
San Antonio, TX 78201-2041
Phone (210) 519-5797

Other identifiers 2

IdentifierTypeStateIssuer
15570OtherNCBCBS
183371701MedicaidTX

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
I20070205000193 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 8921000936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renata Ford MD PAGroup PAC ID 9739353194, 3 clinicians

Practice addresses (Care Compare)

6800 W Ih
Suite 200
San Antonio, TX 78201-2041
Phone (210) 422-9093

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Westover Hills Baptist Hospital Hospital, San Antonio, TX, CCN 670333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41383TXMDSurgery Physician
2009-02088NCMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renata Ford MD PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 8, 2011 Accepting new patients
San Antonio Assisting Services, LLC CurrentSince Jun 1, 2011 Accepting new patients

Locations

5441 Babcock Rd
Ste 301
San Antonio, TX 78240
Phone (210) 614-5242

6800 W Interstate 10
Ste 200
San Antonio, TX 78201
Phone (210) 422-9093

3463 Magic Dr
Ste T21
San Antonio, TX 78229
Phone (210) 614-8101

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.

Hospital & facility affiliations 3

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1972685907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 W IH 10 STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012041",
            "telephone_number": "210-519-5797",
            "fax_number": "210-579-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 W IH 10 STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012041",
            "telephone_number": "210-519-5797",
            "fax_number": "210-579-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "RENATA",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "41383",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2009-02088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15570",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183371701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.