Individual provider Active NPI

Timothy C Hlavinka, MD

  • Urology Physician
  • San Antonio, TX
National Provider Identifier
1982684098
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G8179 Issued in TX
Practice address
7909 Fredericksburg Rd
Suite #135
San Antonio, TX 78229-3425
Phone
(210) 614-4544
Fax
(210) 679-3724
NPI assigned
Jan 17, 2006
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G8179 TX Primary

Addresses

Primary practice location

7909 Fredericksburg Rd
Suite #135
San Antonio, TX 78229-3425

Mailing address

7909 Fredericksburg Rd
Suite#110
San Antonio, TX 78229-3425
Phone (210) 614-4544

Other identifiers 1

IdentifierTypeStateIssuer
129317702MedicaidTX

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
I20111021000199 TX Practitioner - Urology 0446146500 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8179TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology San Antonio P a Urology Current Accepting new patients
Naveen Kella MD PA CurrentSince Jan 1, 2017 Accepting new patients

Locations

7909 Fredericksburg Rd
Ste 110
San Antonio, TX 78229
Phone (210) 614-9603

7909 Fredericksburg Rd
Ste 135
San Antonio, TX 78229
Phone (210) 731-2050

7909 Fredericksburg Rd
Ste 233
San Antonio, TX 78229
Phone (210) 521-7700

9618 Huebner Rd
Ste 120
San Antonio, TX 78240
Phone (210) 617-3670

Interoperability endpoints

  • Direct secure messaging: timothy.hlavinka@791328391172.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1982684098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD",
            "address_2": "SUITE#110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-614-4544",
            "fax_number": "210-679-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD",
            "address_2": "SUITE #135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-614-4544",
            "fax_number": "210-679-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLAVINKA",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "G8179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129317702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.