UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
NPI 1417921834
Radiology - Diagnostic Radiology in Boerne, TX

NPI Status: Active since February 14, 2006

Contact Information

25753 OLD FREDERICKSBURG
BOERNE, TX
ZIP 78015
Phone: (210) 450-9000

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • CLIA Number: 45D2127086
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-08-2027

About UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO

This page provides the complete NPI Profile along with additional information for University Of Texas Health Science Center At San Antonio, a provider established in Boerne, Texas operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1417921834 assigned on February 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated one year ago. University Of Texas Health Science Center At San Antonio operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Andrea S. Marks M.b.a., C.p.a. (Vp Of Business Affairs)

NPI
1417921834
Provider Legal Name
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
25753 OLD FREDERICKSBURG BOERNE, TX 78015
Location Phone
(210) 450-9000
Mailing Address
8431 FREDERICKSBURG RD FL 1 SAN ANTONIO, TX 78229
Mailing Phone
(210) 450-9000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-14-2006
Last Update Date
09-30-2025
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Location Map

Secondary Locations

  • 8403 Floyd Curl Dr
    San Antonio, TX 78229
    (210) 450-9000
  • 7946 N Loop 1604 W
    San Antonio, TX 78249
    (210) 450-9000
  • 4306 De Zavala Rd
    San Antonio, TX 78249
    (210) 450-9000

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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License State
TX
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
12085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

 
22085P0229XAllopathic & Osteopathic Physicians

Radiology
Pediatric Radiology

 
32085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*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

ANDREA S. MARKS M.B.A., C.P.A.

Authorized Official Title
VP OF BUSINESS AFFAIRS
Authorized Official Phone
(210) 567-7020

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2127086
Facility Type
Physician Office
Certificate Effective Date
March 09, 2025
Certificate Expiration Date
March 08, 2027
Laboratory Director
RAMON S. CANCINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to University Of Texas Health Science Center At San Antonio to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO

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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 1417921834, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 1 → 2 9 → 18 → 9 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 1 + 8 + 2 + 2 + 8 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1417921834.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417921834, enumerated as an "organization" on February 14, 2006.

The provider is located at 25753 OLD FREDERICKSBURG BOERNE, TX 78015 and the phone number is (210) 450-9000.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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