Gastroenterology Clinic of San Antonio, P.A.
NPI 1053490631 · Gastroenterology Physician · San Antonio, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gastroenterology Clinic of San Antonio, P.A. is a Gastroenterology Physician organization in San Antonio, TX (NPI 1053490631).
Provider details
- NPI number
- 1053490631
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Russell Havranek, Ceo(210) 615-8308
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2015-10-29
Frequently asked questions
- What is Gastroenterology Clinic of San Antonio, P.A.'s NPI number?
- Gastroenterology Clinic of San Antonio, P.A.'s National Provider Identifier (NPI) is 1053490631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gastroenterology Clinic of San Antonio, P.A.?
- Gastroenterology Clinic of San Antonio, P.A. is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gastroenterology Clinic of San Antonio, P.A. located?
- Gastroenterology Clinic of San Antonio, P.A.'s practice location on file with NPPES is 8550 Datapoint Dr, San Antonio, TX 78229-3270.
- What is Gastroenterology Clinic of San Antonio, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Gastroenterology Clinic of San Antonio, P.A. is (210) 615-8308.
- Does Gastroenterology Clinic of San Antonio, P.A. accept Medicare?
- Gastroenterology Clinic of San Antonio, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gastroenterology Clinic of San Antonio, P.A.?
- The authorized official listed on Gastroenterology Clinic of San Antonio, P.A.'s NPPES record is Russell Havranek, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gastroenterology Clinic of San Antonio, P.A.'s NPI active?
- Yes — Gastroenterology Clinic of San Antonio, P.A.'s NPI (1053490631) is active in the NPPES registry as of the last update on 2015-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.