MED MART - SAN ANTONIO
NPI 1164422143
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in San Antonio, TX

NPI Status: Active since July 30, 2005

Contact Information

21195 IH 10 W
SUITE 1101
SAN ANTONIO, TX
ZIP 78257
Phone: (210) 697-9933
Fax: (210) 697-8753

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Oxygen Equipment & Supplies
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About MED MART - SAN ANTONIO

This page provides the complete NPI Profile along with additional information for Med Mart - San Antonio, a provider established in San Antonio, Texas operating as a Durable Medical Equipment & Medical Supplies, focusing in oxygen equipment & supplies . The healthcare provider is registered in the NPI registry with number 1164422143 assigned on July 2005. The practitioner's primary taxonomy code is 332BX2000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Med Mart - San Antonio. The authorized official of this NPI record is Carlos Barrera (President)

NPI
1164422143
Provider Legal Name
SAN ANTONIO EXTENDED MEDICAL CARE, INC.
Other Organization Name
MED MART - SAN ANTONIO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
21195 IH 10 W SUITE 1101 SAN ANTONIO, TX 78257
Location Phone
(210) 697-9933
Location Fax
(210) 697-8753
Mailing Address
21195 IH 10 W SUITE 1101 SAN ANTONIO, TX 78257
Mailing Phone
(210) 697-9933
Mailing Fax
(210) 697-8753
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2005
Last Update Date
01-10-2024
Code Navigator



Med Mart - San Antonio is a medicare supplier with PTAN 20627075 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Continuous Passive Motion (CPM) Devices or Blood Glucose Monitors/Supplies (Mail Order) or Gastric Suction Pumps or Hospital Beds (Electric) or Hospital Beds (Manual) or Insulin Infusion Pumps and/or Supplies or Pneumatic Compression Devices and/or Supplies or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Tracheotomy Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies

Taxonomy Code
332BX2000X
Type
Suppliers
License State
TX

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

(TX)
2332BP3500XSuppliers

Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition

(TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Standard - HMO
  • UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • Wellpoint Essential Bronze 4000 HSA (+ Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARLOS BARRERA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(210) 697-9933

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0156986-01MEDICAID (05)TX 
1023589OTHER (01)TXACM PRIMARY & SECONDARY
508280OTHER (01)TXBCBS
0867822-01MEDICAID (05)TX 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20627075
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other.
Provider Type List
OXYGEN & EQUIPMENT.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Continuous Passive Motion (CPM) Devices - Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Gastric Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
  • Insulin Infusion Pumps and/or Supplies - Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets
  • Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Power Operated Vehicles (Scooters) - Scooters
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
  • Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Tracheotomy Supplies - Tracheostomy care kits
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Assist Devices -
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164422143, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 8 + 2 + 4 + 1 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1164422143.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pediatrics
21195 IH 10 W, SUITE 2101
SAN ANTONIO, TX 78257
Pediatrics
21195 IH 10 W, SUITE 2101
SAN ANTONIO, TX 78257

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164422143, enumerated as an "organization" on July 30, 2005.

The provider is located at 21195 IH 10 W SUITE 1101 SAN ANTONIO, TX 78257 and the phone number is (210) 697-9933.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BX2000X and a focus in Oxygen Equipment & Supplies.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Molina. Please consult your insurance carrier or call the provider to verify.