Individual provider Active NPI

Jeffrey Clay Fletcher Jr., D.O.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1982920971
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
P6816 Issued in TX
Practice address
4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone
(210) 614-4000
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P6816 TX Primary

Addresses

Primary practice location

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824

Mailing address

4411 Medical Dr
Suite 300
San Antonio, TX 78229-3822
Phone (210) 614-5400

Other practice location 1

12709 Toepperwein Rd Ste 306
Live Oak, TX 78233-3223
Phone (210) 967-0096

Other identifiers 1

IdentifierTypeStateIssuer
558260YR99OtherMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JEFFREY.FLETCHER@hca7.eclinicaldirectplus.com

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
I20130702000742 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Hospitalist 3476793001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 650-4949

1583 E Common St
Suite 105
New Braunfels, TX 78130-3321
Phone (210) 967-0096

4411 Medical Dr
San Antonio, TX 78229-3824

5510 Presidio Pkwy
San Antonio, TX 78249-3192
Phone (210) 583-7200

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

8811 Village Dr
San Antonio, TX 78217-5415
Phone (210) 297-2000

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6816TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio Cardiovascular Disease Current Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Apr 2, 2022 Accepting new patients
Cardiology Clinic of San Antonio, PLLC Cardiovascular Disease CurrentSince Aug 28, 2017 Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients

Locations

12500 Judson Rd
Ste 300
Live Oak, TX 78233
Phone (210) 473-0246

12709 Toepperwein Rd
Ste 306
Live Oak, TX 78233
Phone (210) 381-6533

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

1583 E Common St
Ste 105
New Braunfels, TX 78130
Phone (210) 757-5835

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

Interoperability endpoints

  • Direct secure messaging: 3543-fletcher-jeffrey@direct.leadingreach.com
  • Direct secure messaging: jeffrey.fletcher@hca7.eclinicaldirectplus.com

Organizations & group practices 4

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 5

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1982920971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293822",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12709 Toepperwein Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333223",
            "country_code": "US",
            "telephone_number": "210-967-0096",
            "fax_number": "210-967-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JEFFREY",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P6816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "558260YR99",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JEFFREY.FLETCHER@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12709 Toepperwein Rd Ste 306",
            "city": "Live Oak",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782333223",
            "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.