Gonzaba Medical Group - Medicare Primary Care in San Antonio, TX

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Gonzaba Medical Group is a medicare enrolled primary clinic (Family Medicine) in San Antonio, Texas. The current practice location for Gonzaba Medical Group is 720 Pleasanton Rd, San Antonio, Texas. For appointments, you can reach them via phone at (210) 921-3800. The mailing address for Gonzaba Medical Group is 720 Pleasanton Rd, San Antonio, Texas and phone number is (210) 921-3800.

Gonzaba Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023030160. 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) 921-3800.

Contact Information

Gonzaba Medical Group
720 Pleasanton Rd
San Antonio
TX 78214-1306
(210) 921-3800
(210) 334-2851

Map and Direction


Primary Care Clinic Profile

Full NameGonzaba Medical Group
SpecialityFamily Medicine
Location720 Pleasanton Rd, San Antonio, Texas
Authorized Official Name and PositionWilliam Gonzaba (PRESIDENT/CEO)
Authorized Official Contact2109213800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gonzaba Medical Group
720 Pleasanton Rd
San Antonio
TX 78214-1306

Ph: (210) 921-3800		Gonzaba Medical Group
720 Pleasanton Rd
San Antonio
TX 78214-1306

Ph: (210) 921-3800

NPI Details:

NPI Number1023030160
Provider Enumeration Date07/25/2006
Last Update Date03/31/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8123932647
Medicare Enrollment IDO20040121001049

Medical Identifiers

Medical identifiers for Gonzaba Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023030160NPI-NPPES
CH4150OtherTXRR MEDICARE
081146501MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gonzaba Medical Group acts as a billing entity for following providers:
Provider NamePedro Taussig
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215987672
PECOS PAC ID: 2466358536
Enrollment ID: I20031209001094
Provider NameFernando Bazan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679582332
PECOS PAC ID: 7214830553
Enrollment ID: I20040202000672
Provider NameFranz Velarde
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093795494
PECOS PAC ID: 7911997465
Enrollment ID: I20040515000576
Provider NameRobert P Cyr
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1548466428
PECOS PAC ID: 7214911536
Enrollment ID: I20040615000938
Provider NameSaul Montelongo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578535365
PECOS PAC ID: 7416927165
Enrollment ID: I20040729000524
Provider NameManuel Martinez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568437432
PECOS PAC ID: 8224003991
Enrollment ID: I20040827000227
Provider NameYolanda J Duglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649230848
PECOS PAC ID: 6507819232
Enrollment ID: I20050223000033
Provider NameIsaac Kirk
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629030143
PECOS PAC ID: 1355396060
Enrollment ID: I20050316000834
Provider NameMelissa Martinez Diaz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255350427
PECOS PAC ID: 7012963267
Enrollment ID: I20050330000807
Provider NameTuong H Le
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902855471
PECOS PAC ID: 8325076029
Enrollment ID: I20050803000434
Provider NameJusto L Cisneros
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427168061
PECOS PAC ID: 3173541760
Enrollment ID: I20051102000529
Provider NameCristin A Dickerson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588640148
PECOS PAC ID: 2163434549
Enrollment ID: I20060629000339
Provider NamePascual Mendoza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811993850
PECOS PAC ID: 1850492687
Enrollment ID: I20070724000545
Provider NameLeeanne K Harshman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760522353
PECOS PAC ID: 4688761869
Enrollment ID: I20071105000355
Provider NameDavid E Padilla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265439988
PECOS PAC ID: 4789767799
Enrollment ID: I20080214000257
Provider NameBradley E Smith
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1225177884
PECOS PAC ID: 9436223997
Enrollment ID: I20080731000372
Provider NameVenkat Ramana Reddy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538363114
PECOS PAC ID: 7012082878
Enrollment ID: I20080814000029
Provider NameMaria-gisela Mercado-deane
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851319057
PECOS PAC ID: 6608806617
Enrollment ID: I20081125000343
Provider NameThomas W Longhway
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154541720
PECOS PAC ID: 8022165331
Enrollment ID: I20090402000227
Provider NameLouis R Gutierrez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598969164
PECOS PAC ID: 7214086826
Enrollment ID: I20090601000047
Provider NameJesus Garcia Gallegos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427252089
PECOS PAC ID: 6305997693
Enrollment ID: I20090626000212
Provider NamePing Sun K Chen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992858328
PECOS PAC ID: 7214018548
Enrollment ID: I20090914000596
Provider NameRayleen Villanueva-rumpf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235101023
PECOS PAC ID: 7719028869
Enrollment ID: I20100111000818
Provider NameWilliam T Gonzaba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548231905
PECOS PAC ID: 1951443795
Enrollment ID: I20100116000352
Provider NameAndrew P Ortega
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225003122
PECOS PAC ID: 1557403391
Enrollment ID: I20100116000393
Provider NameGina M Esparza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679506521
PECOS PAC ID: 1355483199
Enrollment ID: I20100116000414
Provider NameVincent G Gonzaba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538192489
PECOS PAC ID: 1254473093
Enrollment ID: I20100116000425
Provider NameEsther Urbaez Duran
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1447469150
PECOS PAC ID: 3870624604
Enrollment ID: I20100623000414
Provider NameGabriel Alberto Urrea-botero
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285887166
PECOS PAC ID: 5991829533
Enrollment ID: I20100902000733
Provider NameBarbara Ann Tuitele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083724918
PECOS PAC ID: 3870785553
Enrollment ID: I20101013000664
Provider NameLori M Silva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891925327
PECOS PAC ID: 6406049931
Enrollment ID: I20101018000196
Provider NamePaula C Golden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497810717
PECOS PAC ID: 0143413591
Enrollment ID: I20101019000322
Provider NameAna Myriam Ballester Fiallo
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1811007412
PECOS PAC ID: 5991991358
Enrollment ID: I20101124000236
Provider NameMelissa Delafuente Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306141312
PECOS PAC ID: 0941481097
Enrollment ID: I20110222000829
Provider NameNicole W Worley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417257726
PECOS PAC ID: 1052593704
Enrollment ID: I20110316000944
Provider NameAnuj Patel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215231964
PECOS PAC ID: 1153504337
Enrollment ID: I20110325000091
Provider NameJully Sanchez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689959264
PECOS PAC ID: 3274708599
Enrollment ID: I20111214000572
Provider NameJacobo S Morales Mendez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770743544
PECOS PAC ID: 6406018258
Enrollment ID: I20120424000526
Provider NameJohn A Mireles
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1952425530
PECOS PAC ID: 0042452963
Enrollment ID: I20130806000343
Provider NameLuis Carlos Anaya Hoyos
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1154578078
PECOS PAC ID: 5991949182
Enrollment ID: I20130909000554
Provider NameKaren Evelin Olarte Merida
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245460260
PECOS PAC ID: 0840434486
Enrollment ID: I20130920000210
Provider NameAlejandro Lerma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679892566
PECOS PAC ID: 8527202191
Enrollment ID: I20130920000580
Provider NameCraig Cook
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184915282
PECOS PAC ID: 3577799154
Enrollment ID: I20131204001695
Provider NameScarlett Y Monroy Alba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740493980
PECOS PAC ID: 9537228978
Enrollment ID: I20140227000640
Provider NameClaudia X Ubinas Frias
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1215227392
PECOS PAC ID: 4789805664
Enrollment ID: I20141017000320
Provider NameGuillermo Madero
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235384439
PECOS PAC ID: 1759412216
Enrollment ID: I20141024001799
Provider NameDeanna Kaye Ridings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336540293
PECOS PAC ID: 9032431317
Enrollment ID: I20141124001762
Provider NameMisty M Trevino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881096709
PECOS PAC ID: 4688996838
Enrollment ID: I20141125001975
Provider NameTerri Kirn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770843625
PECOS PAC ID: 2163648742
Enrollment ID: I20150413001658
Provider NameRobert C Nichols
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518942333
PECOS PAC ID: 7012069123
Enrollment ID: I20150618001595
Provider NameJason Anthony Cheng
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205093200
PECOS PAC ID: 8820245798
Enrollment ID: I20150622000991
Provider NameErick F Alvarez Mosqueira
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881954345
PECOS PAC ID: 8123339728
Enrollment ID: I20150624000263
Provider NameCarlos E Garcia Fajardo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568859742
PECOS PAC ID: 7810207883
Enrollment ID: I20151103001130
Provider NameChristi Marie Willome
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558735480
PECOS PAC ID: 2264732916
Enrollment ID: I20151201003322
Provider NameWinter Leann Honig Peuziat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609241553
PECOS PAC ID: 5294038907
Enrollment ID: I20160129000145
Provider NameAaron Calev Garza Romero
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1912294976
PECOS PAC ID: 5991000200
Enrollment ID: I20160224002716
Provider NameRocio Marisol Neri-hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285095307
PECOS PAC ID: 4082911698
Enrollment ID: I20160328000226
Provider NameNorys Castro Pena
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265797690
PECOS PAC ID: 6406153857
Enrollment ID: I20160330000155
Provider NameStuart Alfred Saunders
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245359793
PECOS PAC ID: 0749571107
Enrollment ID: I20160615002308
Provider NameCynthia M Villanueva Ramos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104262963
PECOS PAC ID: 2567752652
Enrollment ID: I20160806000082
Provider NameVernon E Zurick
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174556567
PECOS PAC ID: 5991738742
Enrollment ID: I20160822001102
Provider NameJulian Falla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710141437
PECOS PAC ID: 2365614013
Enrollment ID: I20160831002807
Provider NameMark Rutledge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578796348
PECOS PAC ID: 4981750346
Enrollment ID: I20161011001921
Provider NameDavid Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669917662
PECOS PAC ID: 2466734058
Enrollment ID: I20170113002144
Provider NameKurt T Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063954048
PECOS PAC ID: 2062794621
Enrollment ID: I20170117001167
Provider NameSindhura Alapati
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528370319
PECOS PAC ID: 7012220189
Enrollment ID: I20170315001813
Provider NameMaria Margarita Lozano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740721265
PECOS PAC ID: 5294010658
Enrollment ID: I20170327001202
Provider NameNubia-paola Forero-medina
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346553146
PECOS PAC ID: 4385878552
Enrollment ID: I20170721002235
Provider NameJudy Cantu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124439880
PECOS PAC ID: 9032416128
Enrollment ID: I20170725002269
Provider NameMartha Elizabeth Guadamud Pacheco
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275920043
PECOS PAC ID: 9335410299
Enrollment ID: I20170810002657
Provider NameDouglas G Valbuena Plaza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447670898
PECOS PAC ID: 3678853322
Enrollment ID: I20170814000706
Provider NameSrikanth Medarametla
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770842817
PECOS PAC ID: 2365768124
Enrollment ID: I20180501002794
Provider NameDiane D Bricco
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306994231
PECOS PAC ID: 0345268678
Enrollment ID: I20180530002876
Provider NameMaria L Martinez Ugarte
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1346424264
PECOS PAC ID: 8820244890
Enrollment ID: I20181005002424
Provider NameClark T Kholeif
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831484112
PECOS PAC ID: 7315230943
Enrollment ID: I20190205000674
Provider NameEduardo Marques Zilli
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1639301658
PECOS PAC ID: 9931343076
Enrollment ID: I20190222002197
Provider NameAndrea C Leong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376100248
PECOS PAC ID: 1850628413
Enrollment ID: I20190806001754
Provider NameCarla Ines Acra Despradel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114181666
PECOS PAC ID: 6800050311
Enrollment ID: I20190815003406
Provider NameBrenda F Amador Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962050369
PECOS PAC ID: 9638504335
Enrollment ID: I20200127000042
Provider NameAndrea Gutierrez De Velasco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306489745
PECOS PAC ID: 9335578079
Enrollment ID: I20200401001941
Provider NameAndrew Harrison
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073812715
PECOS PAC ID: 7315232766
Enrollment ID: I20200421000394
Provider NameRosalie Garza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841809357
PECOS PAC ID: 6709202948
Enrollment ID: I20200818002413
Provider NameAtul Anant Utturkar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700204427
PECOS PAC ID: 9032413711
Enrollment ID: I20200826002176
Provider NameCourtney Ibarra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417576448
PECOS PAC ID: 6507270592
Enrollment ID: I20210203000740
Provider NameLaura Rose Pinon Triplett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518454479
PECOS PAC ID: 6305193608
Enrollment ID: I20210608002461
Provider NameIdalys Santos-sanchez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437655164
PECOS PAC ID: 0042562092
Enrollment ID: I20210623002262
Provider NameZahir Osuna
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568968147
PECOS PAC ID: 9537564497
Enrollment ID: I20210816004071
Provider NameNaresha N Hill-moon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366112765
PECOS PAC ID: 2163829755
Enrollment ID: I20210924000057
Provider NameMariel Salais
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609539659
PECOS PAC ID: 9032507058
Enrollment ID: I20211025001954
Provider NameSalvador Ricardo Garcia
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1598051245
PECOS PAC ID: 1951690635
Enrollment ID: I20220330001121
Provider NameCarlos Andres Perez Ruiz
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1386130151
PECOS PAC ID: 7214285824
Enrollment ID: I20220715000587
Provider NameLavonna Zavala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841909843
PECOS PAC ID: 3173992708
Enrollment ID: I20221202002905
Provider NameChristen Leah Cuevas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386021145
PECOS PAC ID: 8527399526
Enrollment ID: I20230309001062
Provider NameCarlos Vinicio Garcia Monterroso
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114545290
PECOS PAC ID: 9234554056
Enrollment ID: I20230705002928
Provider NameJose Alejandro Cortes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144858614
PECOS PAC ID: 4385005826
Enrollment ID: I20230801001998
Provider NameCristina G Rivera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851929350
PECOS PAC ID: 5597180562
Enrollment ID: I20230802001418
Provider NameSonia Amy Neave
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043849565
PECOS PAC ID: 9739541988
Enrollment ID: I20230820000084
Provider NameKimberly Elena Alvarado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578246708
PECOS PAC ID: 9234591439
Enrollment ID: I20230821002058
Provider NameSumandeep K Brar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447870852
PECOS PAC ID: 9234592882
Enrollment ID: I20230829003880
Provider NameDavid Nava
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083234371
PECOS PAC ID: 5092178392
Enrollment ID: I20230905002371
Provider NameNicolas Alexander Morton-gonzaba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407477060
PECOS PAC ID: 0648634865
Enrollment ID: I20230906003359
Provider NameLaura Maria Torres
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487273538
PECOS PAC ID: 1254786213
Enrollment ID: I20231011000470
Provider NameLam T Le
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881059228
PECOS PAC ID: 0244507333
Enrollment ID: I20240122002315
Provider NameMaxwell Cretcher
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255863973
PECOS PAC ID: 6103194964
Enrollment ID: I20240214000683
Provider NameRuby Jessica Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841950672
PECOS PAC ID: 0244677219
Enrollment ID: I20240326002767
Provider NameSean Snodgress
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205030665
PECOS PAC ID: 4880755891
Enrollment ID: I20240402004370

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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.