ONCOLOGY SAN ANTONIO
NPI 1790180370
Internal Medicine - Hematology & Oncology in San Antonio, TX

Q: What is Oncology San Antonio's NPI number?

The NPI number for Oncology San Antonio is 1790180370. It was assigned to this organization in the NPPES registry on October 25, 2014.

Q: What is Oncology San Antonio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since October 25, 2014CLIA 45D2304694 · Waiver

202 BALTIMORE, SAN ANTONIO, TX 78215(210) 299-8000 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2020, Dec 10, 2015 (2 updates tracked since 2015).

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About Oncology San Antonio NPPES

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

ONCOLOGY SAN ANTONIO (NPI 1790180370) is a healthcare organization registered as a hematology & oncology in San Antonio, Texas and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Jayasree Rao, Partner, as its authorized official.

NPPES Registry Identity

NPI1790180370

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameONCOLOGY SAN ANTONIO

Location Address202 BALTIMORESan Antonio, TX 78215-1907

Mailing AddressP.o. Box 65057San Antonio, TX 78265-5057 · (210) 616-9922 · Fax (210) 877-9097

Phone(210) 299-8000

Organization SubpartNo

Authorized OfficialJayasree RaoPartner · (210) 782-9528

Enumeration DateOctober 25, 2014

Last NPPES UpdateMay 21, 20202 updates tracked since enumeration

NPPES CertifiedMay 21, 2020

✔ NPI 1790180370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

202 BALTIMORE, San Antonio, TX 78215

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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

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

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 45D2304694

Oncology San Antonio - Dt · San Antonio, TX

Active · expires May 15, 2028

CLIA Number45D2304694

Laboratory TypePhysician Office

Certificate Effective DateMay 16, 2026

Certificate Expiration DateMay 15, 2028

Laboratory DirectorSreecharan Mavuram

Laboratory Phone(210) 490-2707

Laboratory LocationOncology San Antonio - Dt202 Baltimore Ave, San Antonio, TX 78215

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 5

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

REYLIN C SEGURA FNP

Nurse Practitioner (Family)