OrganizationActive
Micaby Medical,pllc
NPI 1902422785 · Nephrology Physician · San Antonio, TX
Micaby Medical,pllc is a Nephrology Physician organization in San Antonio, TX (NPI 1902422785).
Provider details
- NPI number
- 1902422785
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hezekiah Sobamowo, President(615) 397-0896
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
10730 Potranco Rd Ste 122-507
San Antonio, TX 78251-3327
Phone: (210) 858-7604
Fax: (210) 888-0383
Street-level locationGet directions
Mailing address
1222 Mccullough Ave Ste 101
San Antonio, TX 78212-4812
Other names (DBA / former)
- Doing business as
- Micaby Medical,pllc
- Doing business as
- Micaby Medical,pllc
Registry dates
- Enumerated
- 2020-06-17
- Last updated
- 2020-10-14
- Certified
- 2020-10-14
Frequently asked questions
- What is Micaby Medical,pllc's NPI number?
- Micaby Medical,pllc's National Provider Identifier (NPI) is 1902422785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Micaby Medical,pllc?
- Micaby Medical,pllc is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Micaby Medical,pllc located?
- Micaby Medical,pllc's practice location on file with NPPES is 10730 Potranco Rd Ste 122-507, San Antonio, TX 78251-3327.
- What is Micaby Medical,pllc's phone number?
- The practice phone number listed in the NPPES registry for Micaby Medical,pllc is (210) 858-7604.
- Who is the authorized official for Micaby Medical,pllc?
- The authorized official listed on Micaby Medical,pllc's NPPES record is Hezekiah Sobamowo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Micaby Medical,pllc's NPI active?
- Yes — Micaby Medical,pllc's NPI (1902422785) is active in the NPPES registry as of the last update on 2020-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.