Conviva Medical Center Management of Texas, P.A.
NPI 1770988990 · Internal Medicine Physician · Live Oak, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Conviva Medical Center Management of Texas, P.A. is a Internal Medicine Physician organization in Live Oak, TX (NPI 1770988990).
Provider details
- NPI number
- 1770988990
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Bonetti, Associate Director(786) 507-8556
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 12602 Toepperwein Rd Ste 100Live Oak, TX 78233-3204Phone: (210) 654-0030Fax: (855) 278-4550
Registry dates
- Enumerated
- 2014-10-30
- Last updated
- 2024-06-21
- Certified
- 2024-06-21
Frequently asked questions
- What is Conviva Medical Center Management of Texas, P.A.'s NPI number?
- Conviva Medical Center Management of Texas, P.A.'s National Provider Identifier (NPI) is 1770988990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Conviva Medical Center Management of Texas, P.A.?
- Conviva Medical Center Management of Texas, P.A. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Conviva Medical Center Management of Texas, P.A. located?
- Conviva Medical Center Management of Texas, P.A.'s practice location on file with NPPES is 12602 Toepperwein Rd Ste 100, Live Oak, TX 78233-3204.
- What is Conviva Medical Center Management of Texas, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Conviva Medical Center Management of Texas, P.A. is (210) 654-0030.
- Does Conviva Medical Center Management of Texas, P.A. accept Medicare?
- Conviva Medical Center Management of Texas, 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 Conviva Medical Center Management of Texas, P.A.?
- The authorized official listed on Conviva Medical Center Management of Texas, P.A.'s NPPES record is Jessica Bonetti, Associate Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Conviva Medical Center Management of Texas, P.A.'s NPI active?
- Yes — Conviva Medical Center Management of Texas, P.A.'s NPI (1770988990) is active in the NPPES registry as of the last update on 2024-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.