Active NPI
Larry Wayne Baros, M.D.
- Specialist
- San Antonio, TX
National Provider Identifier
1992841860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G-4813
- Practice address
- 19276 Stone Oak Pkwy
Suite 102
San Antonio, TX 78258-3378 - Phone
- (210) 494-7172
- Fax
- (210) 494-7562
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G-4813 | TX | Primary |
Addresses
Primary practice location
19276 Stone Oak Pkwy
Suite 102
San Antonio, TX 78258-3378
Mailing address
19276 Stone Oak Pkwy
Suite 102
San Antonio, TX 78258-3379
Phone (210) 494-7172
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4056348 | Other | TN | AETNA HEALTHCARE |
| 86M592 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 3, 2020 through Aug 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G-4813 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1992841860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19276 STONE OAK PKWY",
"address_2": "SUITE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583379",
"telephone_number": "210-494-7172",
"fax_number": "210-494-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19276 STONE OAK PKWY",
"address_2": "SUITE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583378",
"telephone_number": "210-494-7172",
"fax_number": "210-494-7562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAROS",
"first_name": "LARRY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G-4813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "4056348",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "86M592",
"state": "TX"
}
],
"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 Apr 23, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.