NPIMap

Organization Active NPI

River City Pain Management, PLLC

  • Specialist
  • San Antonio, TX
National Provider Identifier
1982058160
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RIVER CITY PAIN MANAGEMENT, PLLC
Practice address
9819 Huebner Rd Ste 113
San Antonio, TX 78240-3253
Phone
(210) 692-0101
Fax
(210) 692-7615
NPI assigned
Apr 14, 2016
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Kimberly Rodriguez
Title
Practice Administrator
Phone
(210) 692-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

9819 Huebner Rd Ste 113
San Antonio, TX 78240-3253

Mailing address

9819 Huebner Rd Ste 113
San Antonio, TX 78240-3253
Phone (210) 692-0101

Other practice location 1

2140 Babcock Rd Ste 100
San Antonio, TX 78229-4439
Phone (210) 692-0101

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160614000298 TX Part B Supplier - Clinic/Group Practice 5193016616 Receives reassigned benefits from 7 practitioners
Practice locations: San Antonio, TX
O20170725003030 TX DME Supplier - Physician - Interventional Pain Management 5193016616 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

9819 Huebner Rd
Bldg 1
San Antonio, TX 78240

9819 Huebner Rd
Ste 113
San Antonio, TX 78240
Phone (210) 692-0101

Practitioners & affiliated clinicians

Practitioners 11

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": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1982058160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 HUEBNER RD STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403253",
            "telephone_number": "210-692-0101",
            "fax_number": "210-692-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9819 HUEBNER RD STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403253",
            "telephone_number": "210-692-0101",
            "fax_number": "210-692-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 Babcock Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294439",
            "country_code": "US",
            "telephone_number": "210-692-0101",
            "fax_number": "210-692-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER CITY PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "210-692-0101"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 16, 2026; 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.