DIABETES AND GLANDULAR DISEASE CLINIC PA
NPI 1427166305
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Antonio, TX

Q: What is Diabetes And Glandular Disease Clinic PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since August 29, 2006CLIA Certified · 2 labs

5107 MEDICAL DR, SAN ANTONIO, TX 78229(210) 614-8612(210) 615-5596 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Aug 7, 2020 (2 updates tracked since 2020).

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About Diabetes And Glandular Disease Clinic Pa NPPES

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

DIABETES AND GLANDULAR DISEASE CLINIC PA (NPI 1427166305) is a healthcare organization registered as an endocrinology, diabetes & metabolism in San Antonio, Texas and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Jacob Vadakekalam, President, as its authorized official.

NPPES Registry Identity

NPI1427166305

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameDIABETES AND GLANDULAR DISEASE CLINIC PA

Location Address5107 MEDICAL DRSan Antonio, TX 78229

Mailing Address5107 Medical DrSan Antonio, TX 78229 · (210) 614-8612 · Fax (210) 615-5596

Phone(210) 614-8612

Fax(210) 615-5596

Organization SubpartNo

Authorized OfficialJacob VadakekalamPresident · (210) 615-5541

Enumeration DateAugust 29, 2006

Last NPPES UpdateJune 9, 20222 updates tracked since enumeration

NPPES CertifiedJune 9, 2022

✔ NPI 1427166305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

5107 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 1

Medicaid121762202TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 45D0501560

Diabetes & Glandular Disease Clinic PA · San Antonio, TX

Active · expires Apr 17, 2028

CLIA Number45D0501560

Laboratory TypePhysician Office

Certificate Effective DateApril 18, 2026

Certificate Expiration DateApril 17, 2028

Laboratory DirectorDr. Firas Akhrass

Laboratory Phone(210) 615-5541

Laboratory LocationDiabetes & Glandular Disease Clinic PA5107 Medical Drive, San Antonio, TX 78229

CLIA data matches this NPI record on: Address Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D2340943

Diabetes & Glandular Disease Clinic, PA · San Antonio, TX

Active · expires Mar 24, 2028

CLIA Number45D2340943

Laboratory TypePhysician Office

Certificate Effective DateMarch 25, 2026

Certificate Expiration DateMarch 24, 2028

Laboratory DirectorDr. Firas Akhrass

Laboratory Phone(210) 615-5542

Laboratory LocationDiabetes & Glandular Disease Clinic, PA5107 Medical, San Antonio, TX 78229

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

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.

CARLEE D DUNLAP ANP

Registered Nurse