Organization Active NPI

MD and MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1992445316
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MD AND MD
Practice address
5718 University HTS Ste 203
San Antonio, TX 78249-1131
Phone
(254) 629-2747
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Madhavi Devagiri, MDNPI 1982897930
Title
Sole Member
Phone
(254) 629-2747

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5718 University HTS Ste 203
San Antonio, TX 78249-1131

Mailing address

5718 University HTS Ste 203
San Antonio, TX 78249-1131
Phone (254) 629-2747

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL www.practicesuite.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220503000734 TX Part B Supplier - Clinic/Group Practice 7315334729 Receives reassigned benefits from 5 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

5718 University Hts
Ste 203
San Antonio, TX 78249
Phone (210) 817-4746

5718 University Hts
San Antonio, TX 78249

12011 SE Loop 410
San Antonio, TX 78221
Phone (469) 351-3321

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1992445316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 UNIVERSITY HTS STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491131",
            "telephone_number": "254-629-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 UNIVERSITY HTS STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491131",
            "telephone_number": "254-629-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD AND MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "DEVAGIRI",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "254-629-2747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.practicesuite.com",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "address_1": "5718 University Hts Ste 203",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782491131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 22, 2022; 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.