MICABY MEDICAL,PLLC
NPI 1902422785
Internal Medicine - Nephrology in San Antonio, TX

Active since June 17, 2020
10730 POTRANCO RD STE 122-507, SAN ANTONIO, TX 78251(210) 858-7604(210) 888-0383 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2020, Jun 17, 2020 (2 updates tracked since 2020).

About Micaby Medical,pllc NPPES

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

MICABY MEDICAL,PLLC (NPI 1902422785) is a healthcare organization registered as a nephrology in San Antonio, Texas and active in the NPI registry since June 2020. The organization lists Hezekiah Oluwarotimi Sobamowo, President, as its authorized official.

NPPES Registry Identity

NPI1902422785
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMICABY MEDICAL,PLLC
Location Address10730 POTRANCO RD STE 122-507San Antonio, TX 78251-3327
Mailing Address1222 Mccullough Ave Ste 101San Antonio, TX 78212-4812 · (210) 858-7604 · Fax (210) 888-0383
Fax(210) 888-0383
Organization SubpartNo
Authorized OfficialHezekiah Oluwarotimi SobamowoPresident · (615) 397-0896
Enumeration DateJune 17, 2020
Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
NPI 1902422785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
10730 POTRANCO RD STE 122-507, San Antonio, TX 78251

Other Names 1

Doing Business AsMicaby Medical,pllc

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

Other Providers at the Same Location NPPES

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

Internal Medicine (Nephrology)
10730 POTRANCO RD STE 122-507
SAN ANTONIO, TX 78251

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 Micaby Medical,pllc's NPI number?

The NPI number for Micaby Medical,pllc is 1902422785. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Micaby Medical,pllc located?

Micaby Medical,pllc is located at 10730 Potranco Rd Ste 122-507, San Antonio, TX 78251. The listed phone number is (210) 858-7604.

What is Micaby Medical,pllc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Micaby Medical,pllc accept?

Health plans from Molina Healthcare list Micaby 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 Micaby Medical,pllc was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.