DEERWOOD FAMILY PRACTICE, PLLC
NPI 1699098400
Family Medicine in San Antonio, TX

Active since March 08, 2010CLIA 45D2005291 · Waiver
4358 LOCKHILL SELMA RD STE 110, SAN ANTONIO, TX 78249(210) 492-4300(210) 492-4380 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2018, May 16, 2018 (2 updates tracked since 2018).

About Deerwood Family Practice, Pllc NPPES

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

DEERWOOD FAMILY PRACTICE, PLLC (NPI 1699098400) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Denise Garza, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1699098400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEERWOOD FAMILY PRACTICE, PLLC
Location Address4358 LOCKHILL SELMA RD STE 110San Antonio, TX 78249
Mailing Address4358 Lockhill Selma Rd Ste 110San Antonio, TX 78249-4167 · (210) 492-4300 · Fax (210) 492-4380
Fax(210) 492-4380
Organization SubpartNo
Authorized OfficialDenise GarzaBilling Manager · (210) 595-6696
Enumeration DateMarch 8, 2010
Last NPPES UpdateOctober 9, 20182 updates tracked since enumeration
✔ NPI 1699098400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
4358 LOCKHILL SELMA RD STE 110, San Antonio, TX 78249

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deerwood Family Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20100702000357Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Deerwood Family Practice, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1588223861
4358 LOCKHILL SELMA RD
San Antonio, TX 78249
(210) 492-4300
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1538867569
4358 LOCKHILL SELMA RD STE 110
San Antonio, TX 78249
(210) 492-4300
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D2005291

Deerwood Family Practice · San Antonio, TX
Active · expires Mar 23, 2028
CLIA Number45D2005291
Laboratory TypePractitioner Other
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorShawn Mollica
Laboratory Phone(210) 492-4300
Laboratory LocationDeerwood Family Practice4358 Lockhill Selma, Bldg 1, Suite 110, San Antonio, TX 78249
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Deerwood Family Practice, PLLC's NPI number?

The NPI number for Deerwood Family Practice, PLLC is 1699098400. It was assigned to this organization in the NPPES registry on March 8, 2010.

Where is Deerwood Family Practice, PLLC located?

Deerwood Family Practice, PLLC is located at 4358 Lockhill Selma Rd Ste 110, San Antonio, TX 78249. The listed phone number is (210) 492-4300.

What is Deerwood Family Practice, PLLC's specialty?

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

Is Deerwood Family Practice, PLLC enrolled in Medicare?

Yes. Deerwood Family Practice, PLLC is registered in the Medicare PECOS enrollment system.

When is Deerwood Family Practice, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Deerwood Family Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Deerwood Family Practice, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deerwood Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2005291) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deerwood Family Practice, PLLC was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.