Gregory Coleman Iglesia, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

H7991 Issued in TX

Practice address

1301 Wonder World Dr
San Marcos, TX 78666-7533

Phone

(512) 396-8565

Fax

(512) 396-8567

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• San Marcos Medical Imaging PLLC

  • Diagnostic Radiology Physician
  • San Marcos, TX
  • NPI 1861519175
  Medicare reassignment NPD
• San Marcos MRI, LP

  • Radiology Clinic/Center
  • San Marcos, TX
  • NPI 1992786883
  NPD
• Radiology Associates of San Marcos

  • Diagnostic Radiology Physician
  • San Marcos, TX
  • NPI 1104043504
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1992704803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786671005",
            "telephone_number": "512-396-8565",
            "fax_number": "512-396-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667533",
            "telephone_number": "512-396-8565",
            "fax_number": "512-396-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIA",
        "first_name": "GREGORY",
        "middle_name": "COLEMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H7991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103672502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "880858Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSSTX",
            "identifier": "00TS99",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Hughes
• Bonnie Lynn Hughson, LPC
• Nyja Tranae Hurt
• Carrie Hutchins, SLP CCC
• Ideal Dental of San Marcos PLLC
• Infusion Clinic of Central Texas PLLC
• Katharina Lynn Ingram
• Adriana Veronica Inmon, LCSW
• Inpatient Care of South Texas
• Inpatient Medcare LLC

• Diagnostic Radiology Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.