DIABETES AND GLANDULAR DISEASE CLINIC PA – NPI #1427166305
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

DIABETES AND GLANDULAR DISEASE CLINIC PA is a provider located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1427166305 to DIABETES AND GLANDULAR DISEASE CLINIC PA on August 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 4 years ago on Jun 09, 2022. 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 DIABETES AND GLANDULAR DISEASE CLINIC PA below.

NPI Profile for
DIABETES AND GLANDULAR DISEASE CLINIC PA

NPI Number
1427166305
Enumeration Date

(about 20 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
DIABETES AND GLANDULAR DISEASE CLINIC PA
Primary location
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Phone: (210) 614-8612 Fax: (210) 615-5596
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACOB VADAKEKALAM
PRESIDENT
Phone: (210) 615-5541
Updated
Certification Date
Jun 09, 2022

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 DIABETES AND GLANDULAR DISEASE CLINIC PA

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
MEDICAIDTX121762202
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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)

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.