Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DIEGO RAFAEL IRAVEDRA-GARCIA MD
NPI 1255856472
Radiology - Neuroradiology in San Antonio, TX

Q: What is Diego Iravedra-garcia's NPI number?

The NPI number for Diego Iravedra-garcia is 1255856472. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Q: What is Diego Iravedra-garcia's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Active since August 09, 2017PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Jun 2, 2025, Jun 30, 2020 and 2 more (5 updates tracked since 2017).

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About Dr. Diego Rafael Iravedra-garcia Md NPPES

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

DR. DIEGO RAFAEL IRAVEDRA-GARCIA MD (NPI 1255856472) is an individual neuroradiology provider in San Antonio, Texas, licensed in Texas (T2890) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1255856472

Entity TypeIndividualMale

Primary Taxonomy2085N0700X

Provider Legal NameDR. DIEGO RAFAEL IRAVEDRA-GARCIACredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address2610 Erwin RdDurham, NC 27705-3853

Phone(210) 358-4000

Sole ProprietorNo

Enumeration DateAugust 9, 2017

Last NPPES UpdateJuly 15, 20265 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1255856472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0700X

License✔ Licensed in TX · T2890

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 2025-00788 (NC)

4502 MEDICAL DR, San Antonio, TX 78229

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Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diego Rafael Iravedra-garcia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)