DIRECT MED CLINIC
NPI 1689104846
Family Medicine in San Antonio, TX

Active since June 19, 2017CLIA Certified · 3 labs
1010 NW LOOP 410 STE 100A, SAN ANTONIO, TX 78213(210) 886-8031(210) 886-8059 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2019, Jun 19, 2017 (2 updates tracked since 2017).

About Direct Med Clinic NPPES

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

DIRECT MED CLINIC (NPI 1689104846) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since June 2017. The organization holds 3 active CLIA laboratory certificates and lists Roger Moczygemba, Owner, as its authorized official.

NPPES Registry Identity

NPI1689104846
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIRECT MEDICAL PLLC
Location Address1010 NW LOOP 410 STE 100ASan Antonio, TX 78213-2220
Mailing Address1010 Nw Loop 410 Ste 100aSan Antonio, TX 78213-2220 · (210) 886-8031 · Fax (210) 886-8059
Fax(210) 886-8059
Organization SubpartNo
Authorized OfficialRoger MoczygembaOwner · (210) 264-5500
Enumeration DateJune 19, 2017
Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration
NPI 1689104846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1010 NW LOOP 410 STE 100A, San Antonio, TX 78213

Other Names 2

Doing Business AsDirect Med Clinic
Other NameMedallus Urgent Care

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

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 45D2136592

Direct Med Clinic · San Antonio, TX
Active · expires Sep 11, 2027
CLIA Number45D2136592
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorRoger M. Moczygemba
Laboratory Phone(210) 886-8031
Laboratory LocationDirect Med Clinic1010 NW Loop 410, Suite 100A, San Antonio, TX 78213
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2283682

Direct Med Clinic - Biobridge Global · San Antonio, TX
Active · expires Jun 11, 2027
CLIA Number45D2283682
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorRoger M. Moczyemba
Laboratory Phone(210) 886-8031
Laboratory LocationDirect Med Clinic - Biobridge GlobalDonor Pavillion 6100 Ih 10 West, San Antonio, TX 78201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2271927

Direct Med Clinic - Barlite · San Antonio, TX
Active · expires Nov 9, 2026
CLIA Number45D2271927
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorRoger M. Moczygemba
Laboratory Phone(210) 886-8031
Laboratory LocationDirect Med Clinic - Barlite7500 Barlite Suite 310, San Antonio, TX 78224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Family Medicine
1010 NW LOOP 410 STE 100A
SAN ANTONIO, TX 78213
Family Medicine
1010 NW LOOP 410 STE 100A
SAN ANTONIO, TX 78213
Nurse Practitioner (Family)
1010 NW LOOP 410 STE 100A
SAN ANTONIO, TX 78213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Direct Medical PLLC's NPI number?

The NPI number for Direct Medical PLLC is 1689104846. It was assigned to this organization in the NPPES registry on June 19, 2017. The provider is doing business as Direct Med Clinic. The provider is also known as Medallus Urgent Care.

Where is Direct Medical PLLC located?

Direct Medical PLLC is located at 1010 NW Loop 410 Ste 100A, San Antonio, TX 78213. The listed phone number is (210) 886-8031.

What is Direct Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Direct Medical PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Direct Medical PLLC accept?

Health plans from WellPoint list Direct Medical PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Direct Medical PLLC was last updated on January 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.