CARITAS FAMILY MEDICINE PA – Family Medicine Physician, NPI 1215042189

CARITAS FAMILY MEDICINE PA is a healthcare provider. based in Live oak, Texas. specializing in Family Medicine Physician. The organization holds a License No. L8002 (TX). The NPI Number for CARITAS FAMILY MEDICINE PA is 1215042189

Main info

Organization
Name
CARITAS FAMILY MEDICINE PA
NPI
1215042189
Phone
(210) 650-9066
Address
11901 TOEPPERWEIN RD
Authorized Official
JEFFREY ALEXANDER CANNON PRESIDENT MD
Enumeration Date
20 August 2006
Last Update Date
5 April 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CARITAS FAMILY MEDICINE PA

  • 11901, Toepperwein Road, Live Oak, Bexar County, Texas, 78233, United States

    SUITE 1201

    LIVE OAK, TX 782333161

    Phone: (210) 650-9066

    Fax: (210) 650-9067

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (114 days away).

Enrollment records

1

Earliest due date

2026-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040910000752OClinic/Group PracticeTX2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78233)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for CARITAS FAMILY MEDICINE PA?
CARITAS FAMILY MEDICINE PA — NPI 1215042189 — is the standard way to identify this listing.
Does the file indicate CARITAS FAMILY MEDICINE PA is practicing under active NPI?
Directory data currently reports CARITAS FAMILY MEDICINE PA as active.
What is CARITAS FAMILY MEDICINE PA best known for clinically?
Directory data describes CARITAS FAMILY MEDICINE PA with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does CARITAS FAMILY MEDICINE PA serve?
CARITAS FAMILY MEDICINE PA's listing highlights Live Oak, Texas; more addresses can appear in NPPES.
Is the information about CARITAS FAMILY MEDICINE PA up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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