CARL E DUKES M D PA
NPI 1912168360
Health Maintenance Organization in San Antonio, TX
- Organization
- Health Maintenance Organization
- Accepts Insurance
About CARL E DUKES M D PA
This page provides the complete NPI Profile along with additional information for Carl E Dukes M D Pa, a provider established in San Antonio, Texas operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1912168360 assigned on June 2008. The practitioner's primary taxonomy code is 302R00000X with license number F8471 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's former legal business name is Carl E Dukes M D Pa. The authorized official of this NPI record is Dr. Carl E Dukes Md (Internal Medicine/nephrology)
- NPI
- 1912168360 Verify this NPI
- Provider Legal Name
- CARL E DUKES M D PA
- Other Organization Name
- CARL E DUKES M D PA
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 2011 E HOUSTON ST STE 101A SAN ANTONIO, TX 78202
- Location Phone
- (210) 226-1717
- Location Fax
- (210) 226-2132
- Mailing Address
- 2011 E HOUSTON ST STE 101A SAN ANTONIO, TX 78202
- Mailing Phone
- (210) 226-1717
- Mailing Fax
- (210) 226-2132
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2008
- Last Update Date
- 03-20-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- License No.
- F8471
- License State
- TX
- Taxonomy Description
- (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Saver 750 - HMO
- Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
- Molina Gold Saver 750 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00CU242 | MEDICAID (05) | TX | |
| 00638Y | MEDICARE PIN (08) | TX | |
| B22394 | MEDICARE UPIN (02) | TX |
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
SAN ANTONIO, TX 78202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912168360, enumerated as an "organization" on June 18, 2008.
The provider is located at 2011 E HOUSTON ST STE 101A SAN ANTONIO, TX 78202 and the phone number is (210) 226-1717.
Health Maintenance Organization with taxonomy code 302R00000X.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.