SAN ANTONIO HEART PLLC – NPI #1053758045
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

SAN ANTONIO HEART PLLC is a provider located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1053758045 to SAN ANTONIO HEART PLLC on May 30, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on Jul 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN ANTONIO HEART PLLC below.

NPI Profile for
SAN ANTONIO HEART PLLC

NPI Number
1053758045
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN ANTONIO HEART PLLC
Primary location
525 OAK CENTRE DR STE 270
SAN ANTONIO, TX 78258-3917
Phone: (210) 270-2992 Fax: (210) 224-7898
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GERALD KOPPES
MD/OWNER
Phone: (210) 270-2992
Updated
Certification Date
Jul 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SAN ANTONIO HEART PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRR MEDICARETXDU3664
medicaidTX3267924-01
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
TX E3343

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.