NORTHEAST INTERNAL MEDICAL ASSOCIATES
NPI 1245520089
Internal Medicine in San Antonio, TX

Active since April 13, 2011CLIA 45D0866425 · Waiver
12702 IH 35 N, SAN ANTONIO, TX 78233(210) 650-9669(210) 650-0750 Get Directions Write a Review

NPPES record last updated: July 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northeast Internal Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST INTERNAL MEDICAL ASSOCIATES (NPI 1245520089) is a healthcare organization registered as an internal medicine in San Antonio, Texas and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Roberta S Cloud, Vice President, as its authorized official.

NPPES Registry Identity

NPI1245520089
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSAN ANTONIO INTERNAL MEDICINE PHYSICIANS, PLLC
Location Address12702 IH 35 NSan Antonio, TX 78233-2609
Mailing Address8109 Fredericksburg Rd, Physician Practice ServicesSan Antonio, TX 78229-3311 · (210) 575-8501 · Fax (210) 575-0167
Fax(210) 650-0750
Organization SubpartNo
Authorized OfficialRoberta S CloudVice President · (210) 575-8501
Enumeration DateApril 13, 2011
Last NPPES UpdateJuly 27, 2011
NPI 1245520089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12702 IH 35 N, San Antonio, TX 78233

Other Names 1

Doing Business AsNortheast Internal Medical Associates

Other Identifiers 3

Medicaid2167660-01TX
Medicare PINTXB109649
Other0098WMTX · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0866425

Northeast Internal Medical Associates PLLC D/B/A San Antonio Internal Medicine Physicians · Live Oak, TX
Active · expires Aug 18, 2027
CLIA Number45D0866425
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorJose Plata
Laboratory Phone(210) 650-9669
Laboratory LocationNortheast Internal Medical Associates PLLC D/B/A San Antonio Internal Medicine Physicians12702 Ih 35 N, Live Oak, TX 78233
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245520089, enumerated as an "organization" on April 13, 2011.

The provider is located at 12702 IH 35 N SAN ANTONIO, TX 78233 and the phone number is (210) 650-9669.

Internal Medicine with taxonomy code 207R00000X.

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