NPIMap

Organization Active NPI

Carefront Medical Group, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1982169223
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAREFRONT MEDICAL GROUP, PLLC
Practice address
10423 State Highway 151 Ste 103
San Antonio, TX 78251-4768
Phone
(210) 876-1451
Fax
(210) 455-0342
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Lajja J. Patel, MDNPI 1144454406
Title
Owner
Phone
(210) 876-1451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10423 State Highway 151 Ste 103
San Antonio, TX 78251-4768

Mailing address

10423 State Highway 151 Ste 103
San Antonio, TX 78251-4768
Phone (210) 876-1451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190326001686 TX Part B Supplier - Clinic/Group Practice 4981944162 Receives reassigned benefits from 6 practitioners
Practice locations: Castroville, TX; Windcrest, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1014 Paris St
Castroville, TX 78009

4926 Golden Quail
Ste 104
San Antonio, TX 78240
Phone (210) 876-1451

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

5253 Walzem Rd
Ste 2
Windcrest, TX 78218
Phone (210) 599-0456

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1982169223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10423 STATE HIGHWAY 151 STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514768",
            "telephone_number": "210-876-1451",
            "fax_number": "210-455-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 STATE HIGHWAY 151 STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514768",
            "telephone_number": "210-876-1451",
            "fax_number": "210-455-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFRONT MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "LAJJA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-876-1451",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Feb 20, 2019; 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.