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ALAMO PRIMARY CARE OF POTRANCO PLLC
NPI 1912601907
Family Medicine in San Antonio, TX

Active since March 27, 2023CLIA 45D2294796 · Waiver
12047 POTRANCO RD STE 105, SAN ANTONIO, TX 78253(210) 571-1338(210) 571-1339 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Apr 2, 2025, Mar 27, 2023 (3 updates tracked since 2023).

About Alamo Primary Care Of Potranco Pllc NPPES

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

ALAMO PRIMARY CARE OF POTRANCO PLLC (NPI 1912601907) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through November 29, 2027, maintains a secondary practice location in Boerne, and lists Vishal M Nemarugommula, Md, as its authorized official.

NPPES Registry Identity

NPI1912601907
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALAMO PRIMARY CARE OF POTRANCO PLLC
Location Address12047 POTRANCO RD STE 105San Antonio, TX 78253-7555
Mailing Address12047 Potranco Rd Ste 105San Antonio, TX 78253-7555 · (210) 571-1338 · Fax (210) 571-1339
Phone(210) 571-1338
Fax(210) 571-1339
Organization SubpartNo
Authorized OfficialVishal M NemarugommulaMd · (210) 571-1338
Enumeration DateMarch 27, 2023
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1912601907 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.
12047 POTRANCO RD STE 105, San Antonio, TX 78253
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Secondary Practice Location 1

Location 11141 S. Main Street, Suite 102Boerne, TX 78006 · Phone (830) 280-0830 · Fax (830) 280-0832

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alamo Primary Care Of Potranco Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alamo Primary Care Of Potranco PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vishal Nemarugommula, MBBS
Family Practice
NPI 1194982777
12047 POTRANCO RD STE 105
San Antonio, TX 78253
(210) 571-1338
✔ PECOS✔ Accepts MedicareSame address

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 45D2294796

Alamo Primary Care Of Potranco · San Antonio, TX
Active · expires Nov 29, 2027
CLIA Number45D2294796
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorVishal Nemarugommula
Laboratory Phone(210) 571-1338
Laboratory LocationAlamo Primary Care Of Potranco12047 Potranco Road, Ste 105, San Antonio, TX 78253
CLIA data matches this NPI record on: Address 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 Alamo Primary Care Of Potranco PLLC's NPI number?

The NPI number for Alamo Primary Care Of Potranco PLLC is 1912601907. It was assigned to this organization in the NPPES registry on March 27, 2023.

Where is Alamo Primary Care Of Potranco PLLC located?

Alamo Primary Care Of Potranco PLLC is located at 12047 Potranco Rd Ste 105, San Antonio, TX 78253. The listed phone number is (210) 571-1338.

What is Alamo Primary Care Of Potranco PLLC's specialty?

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

Is Alamo Primary Care Of Potranco PLLC enrolled in Medicare?

Yes. Alamo Primary Care Of Potranco PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alamo Primary Care Of Potranco PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Alamo Primary Care Of Potranco 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alamo Primary Care Of Potranco PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2294796) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alamo Primary Care Of Potranco PLLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.