Individual provider Active NPI

Robert Jean Ferry Jr., M.D.

  • Pediatric Endocrinology Physician
  • San Antonio, TX
National Provider Identifier
1982697561
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
J8534 Issued in TX
Practice address
15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983
Phone
(210) 361-3738
Fax
(210) 892-3642
NPI assigned
Aug 29, 2005
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J8534 TX
Pediatric Endocrinology Physician 2080P0205X J8534 TX Primary

Addresses

Primary practice location

15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983

Mailing address

15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983
Phone (210) 361-3738

Other identifiers 2

IdentifierTypeStateIssuer
121696203MedicaidTX
031169802MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://Endo4Life.com Direct

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
I20250310000987 TX Practitioner - Pediatric MedicinePractitioner - Endocrinology 8426120270 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8534TXMDPediatrics Physician
13351TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children's Physician Group Pediatrics CurrentSince Feb 24, 2025 Accepting new patients

Locations

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

Organizations & group practices 1

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1982697561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD STE 15",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480983",
            "telephone_number": "210-361-3738",
            "fax_number": "210-892-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD STE 15",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480983",
            "telephone_number": "210-361-3738",
            "fax_number": "210-892-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRY",
        "first_name": "ROBERT",
        "middle_name": "JEAN",
        "name_prefix": "Prof.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J8534",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "TX",
            "license": "J8534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121696203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031169802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://Endo4Life.com",
            "affiliation": "N",
            "endpointDescription": "enrollment page",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "practice website",
            "address_1": "15303 Huebner Rd Ste 15",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782480983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.