Diabetes And Glandular Disease Clinic Pa - Medicare Primary Care in San Antonio, TX

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Diabetes And Glandular Disease Clinic Pa is a medicare enrolled primary clinic (Internal Medicine - Endocrinology, Diabetes & Metabolism) in San Antonio, Texas. The current practice location for Diabetes And Glandular Disease Clinic Pa is 5107 Medical Dr, San Antonio, Texas. For appointments, you can reach them via phone at (210) 614-8612. The mailing address for Diabetes And Glandular Disease Clinic Pa is 5107 Medical Dr, San Antonio, Texas and phone number is (210) 614-8612.

Diabetes And Glandular Disease Clinic Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1427166305. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (210) 614-8612.

Contact Information

Diabetes And Glandular Disease Clinic Pa
5107 Medical Dr
San Antonio
TX 78229
(210) 614-8612
(210) 615-5596

Map and Direction


Primary Care Clinic Profile

Full NameDiabetes And Glandular Disease Clinic Pa
SpecialityInternal Medicine
Location5107 Medical Dr, San Antonio, Texas
Authorized Official Name and PositionJacob Vadakekalam (PRESIDENT)
Authorized Official Contact2106155541
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diabetes And Glandular Disease Clinic Pa
5107 Medical Dr
San Antonio
TX 78229

Ph: (210) 614-8612		Diabetes And Glandular Disease Clinic Pa
5107 Medical Dr
San Antonio
TX 78229

Ph: (210) 614-8612

NPI Details:

NPI Number1427166305
Provider Enumeration Date08/29/2006
Last Update Date06/09/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3375443930
Medicare Enrollment IDO20040110000006

Medical Identifiers

Medical identifiers for Diabetes And Glandular Disease Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427166305NPI-NPPES
121762202MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Diabetes And Glandular Disease Clinic Pa acts as a billing entity for following providers:
Provider NameStacie Kathleen Haller
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1528176526
PECOS PAC ID: 1850371162
Enrollment ID: I20040726000467
Provider NamePhillip W Kostroun
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1003924002
PECOS PAC ID: 0143253708
Enrollment ID: I20050914000510
Provider NameAmna A Salhin
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1790741726
PECOS PAC ID: 9133128473
Enrollment ID: I20061213000536
Provider NameJacob Vadakekalam
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1316904139
PECOS PAC ID: 4587551767
Enrollment ID: I20061213000564
Provider NameWilliam F Trigoso
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1952368706
PECOS PAC ID: 9739188079
Enrollment ID: I20061213000576
Provider NameFiras Akhrass
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1487636205
PECOS PAC ID: 1557373040
Enrollment ID: I20070516000321
Provider NameVijayveer S Pamar
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1407853963
PECOS PAC ID: 0941113906
Enrollment ID: I20080722000053
Provider NameSheila M Calumpiano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306173067
PECOS PAC ID: 8820138449
Enrollment ID: I20091211000614
Provider NameAndrea Milam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104152826
PECOS PAC ID: 1850428798
Enrollment ID: I20100423000550
Provider NameTina M Copple
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568676500
PECOS PAC ID: 2668504689
Enrollment ID: I20100709000450
Provider NameCarisse M Orsi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1235313073
PECOS PAC ID: 0143344135
Enrollment ID: I20100827000191
Provider NameLauren Ann Pankratz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568675726
PECOS PAC ID: 2365620853
Enrollment ID: I20110705000464
Provider NameMahendra Ghanta
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1861656548
PECOS PAC ID: 3870764582
Enrollment ID: I20140919001656
Provider NameKindra J Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558765727
PECOS PAC ID: 1658693809
Enrollment ID: I20141125002132
Provider NameDiana V Huckaby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902355977
PECOS PAC ID: 1456636687
Enrollment ID: I20170330000202
Provider NameRenee Christine Chisum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568967008
PECOS PAC ID: 4284997644
Enrollment ID: I20180417001733
Provider NameKalicia C Christie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033775572
PECOS PAC ID: 3375877426
Enrollment ID: I20190625000589
Provider NameFebbie Phiri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437818101
PECOS PAC ID: 1759761463
Enrollment ID: I20220712000173
Provider NameDelia S Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962139345
PECOS PAC ID: 1951785930
Enrollment ID: I20220825002576
Provider NameRobin Butcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982330288
PECOS PAC ID: 4082861158
Enrollment ID: I20230828002785
Provider NameDouglas Michael Dalke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104507656
PECOS PAC ID: 7416302930
Enrollment ID: I20231018001171
Provider NamePriscilla Waiying Ching
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487315263
PECOS PAC ID: 1456702216
Enrollment ID: I20240105003894
Provider NameAmy Rivas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699244830
PECOS PAC ID: 5395288104
Enrollment ID: I20240621001181
Provider NameTiffany Uichanco Purewal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548722515
PECOS PAC ID: 7012451412
Enrollment ID: I20240626003060

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.