Organization Active NPI

Genesis MD, PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1992505861
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GENESIS MD, PA
Practice address
15303 Huebner Rd Ste 7
San Antonio, TX 78248-0982
Phone
(210) 759-1420
Fax
(210) 759-1404
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Juanita Huertas Sprute, MDNPI 1275523235
Title
Co-Owner
Phone
(210) 872-1520

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: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15303 Huebner Rd Ste 7
San Antonio, TX 78248-0982

Mailing address

15303 Huebner Rd Ste 7
San Antonio, TX 78248-0982
Phone (210) 759-1420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725002268 TX Part B Supplier - Clinic/Group Practice 3678080645 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0501119Genesis MD15303 Huebner Rd BLDG 7, San Antonio, TX 78248Provider-performed microscopyDec 18, 2026

National Provider Directory

National Provider Directory

Locations

15303 Huebner Rd
Ste 7
San Antonio, TX 78248
Phone (210) 759-1420

Practitioners & affiliated clinicians

Practitioners 4

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": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1992505861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD STE 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480982",
            "telephone_number": "210-759-1420",
            "fax_number": "210-759-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD STE 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480982",
            "telephone_number": "210-759-1420",
            "fax_number": "210-759-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "SPRUTE",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "HUERTAS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "210-872-1520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family 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 Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.