Hillside Primary Care PLLC - Medicare Primary Care in Live Oak, TX

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Hillside Primary Care PLLC is a medicare enrolled primary clinic (Internal Medicine) in Live Oak, Texas. The current practice location for Hillside Primary Care PLLC is 12410 Toepperwein Rd, Live Oak, Texas. For appointments, you can reach them via phone at (210) 742-6555. The mailing address for Hillside Primary Care PLLC is 12881 N Ih 35, Live Oak, Texas and phone number is (210) 742-6555.

Hillside Primary Care PLLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1205349040. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (210) 742-6555.

Contact Information

Hillside Primary Care PLLC
12410 Toepperwein Rd
Live Oak
TX 78233-3230
(210) 742-6555
(224) 623-0079

Map and Direction


Primary Care Clinic Profile

Full NameHillside Primary Care PLLC
SpecialityInternal Medicine
Location12410 Toepperwein Rd, Live Oak, Texas
Authorized Official Name and PositionDerin Patel (MEDICAL DOCTOR / OWNER)
Authorized Official Contact2107426555
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hillside Primary Care PLLC
12881 N Ih 35
Live Oak
TX 78233-2966

Ph: (210) 742-6555		Hillside Primary Care PLLC
12410 Toepperwein Rd
Live Oak
TX 78233-3230

Ph: (210) 742-6555

NPI Details:

NPI Number1205349040
Provider Enumeration Date11/15/2017
Last Update Date09/02/2025
Certification Date09/02/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0648530386
Medicare Enrollment IDO20180129000878

Medical Identifiers

Medical identifiers for Hillside Primary Care PLLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205349040NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary
213E00000XPodiatrist ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Hillside Primary Care PLLC acts as a billing entity for following providers:
Provider NameSuneeta Naik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245276732
PECOS PAC ID: 3971493131
Enrollment ID: I20040319000573
Provider NameOkey Okoli
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1215949144
PECOS PAC ID: 9234124512
Enrollment ID: I20040416000531
Provider NameMelissa M Kempf
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568541043
PECOS PAC ID: 2365426277
Enrollment ID: I20040617000604
Provider NameGloria a Kohn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770756116
PECOS PAC ID: 0143281451
Enrollment ID: I20041020000904
Provider NameLisa M Dix-emperador
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568410975
PECOS PAC ID: 8426080862
Enrollment ID: I20060706000294
Provider NameRobert a Foulk
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1013977578
PECOS PAC ID: 1850424110
Enrollment ID: I20100806000384
Provider NameGerardo R Vazquez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740274497
PECOS PAC ID: 1254416647
Enrollment ID: I20101115001011
Provider NameBetty J Thomas
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1336454131
PECOS PAC ID: 5890982797
Enrollment ID: I20101203001003
Provider NameSandra T Rocha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518938687
PECOS PAC ID: 5496785131
Enrollment ID: I20101215000893
Provider NameMariann M Craddock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295019503
PECOS PAC ID: 7810143781
Enrollment ID: I20120808000479
Provider NameTracey Cawthorn
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982850665
PECOS PAC ID: 1658516588
Enrollment ID: I20130326000248
Provider NameLaurie a Incledon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467708933
PECOS PAC ID: 7012151442
Enrollment ID: I20130924000964
Provider NameAmita Kumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992968481
PECOS PAC ID: 3577689702
Enrollment ID: I20131023000665
Provider NameLajja J Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144454406
PECOS PAC ID: 7719156496
Enrollment ID: I20140328000900
Provider NameErika Eisenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477990364
PECOS PAC ID: 7214160837
Enrollment ID: I20140507000174
Provider NameRita S Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518190867
PECOS PAC ID: 8224340187
Enrollment ID: I20150707000244
Provider NamePatricia B Dias De Leon
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1821403056
PECOS PAC ID: 8123314911
Enrollment ID: I20160902000860
Provider NameDerinbhai Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306165014
PECOS PAC ID: 1052552700
Enrollment ID: I20171026003109
Provider NameJordan Deliman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1548641566
PECOS PAC ID: 1557615333
Enrollment ID: I20181114000699
Provider NameKaren Ann Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063703510
PECOS PAC ID: 6103166103
Enrollment ID: I20190328001294
Provider NameGarrick Gordon Naylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801360698
PECOS PAC ID: 2466793351
Enrollment ID: I20190402001613
Provider NameJanice Ann Elliott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922509231
PECOS PAC ID: 5092057547
Enrollment ID: I20190502000404
Provider NameTeresa M Beard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467010702
PECOS PAC ID: 8426388679
Enrollment ID: I20191001002284
Provider NameVictor Labrado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629629803
PECOS PAC ID: 1557693330
Enrollment ID: I20191028002410
Provider NameDiane E Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205484565
PECOS PAC ID: 0547692709
Enrollment ID: I20191111000451
Provider NameGabriela Aida Quintero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528671922
PECOS PAC ID: 9133530934
Enrollment ID: I20201130002871
Provider NameKristen Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215546601
PECOS PAC ID: 2668887381
Enrollment ID: I20210210001929
Provider NameRoy Brent Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609489533
PECOS PAC ID: 9830598523
Enrollment ID: I20210601000104
Provider NameSarah Hessling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659002103
PECOS PAC ID: 2264813716
Enrollment ID: I20220715000731
Provider NameRobert Daniel Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528707759
PECOS PAC ID: 6507247657
Enrollment ID: I20220720001951
Provider NameFlorence Pugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780188128
PECOS PAC ID: 6709260680
Enrollment ID: I20220825003029
Provider NameDouglas Glosup
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245968171
PECOS PAC ID: 6406231687
Enrollment ID: I20220924000169
Provider NameCourtney Flores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770216178
PECOS PAC ID: 9032587670
Enrollment ID: I20221201002318
Provider NameAdams-jeffrey Almeria Blanco
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1699421834
PECOS PAC ID: 2365812450
Enrollment ID: I20230106000397
Provider NameElizabeth Kay Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821501123
PECOS PAC ID: 8527431618
Enrollment ID: I20230311000056
Provider NameJuan Carlos Perez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841999703
PECOS PAC ID: 8628443124
Enrollment ID: I20230415000135
Provider NameSafaa Soueid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225734320
PECOS PAC ID: 7911362413
Enrollment ID: I20230506000303
Provider NameMelinda Zamora
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184351330
PECOS PAC ID: 4789041229
Enrollment ID: I20230529000031
Provider NameFatima El Maanaoui
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720715121
PECOS PAC ID: 8820456965
Enrollment ID: I20230621002346
Provider NameAbbi Mcdaniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346938446
PECOS PAC ID: 4688032709
Enrollment ID: I20230622001315
Provider NameMariana Ontiveros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912696493
PECOS PAC ID: 1759736739
Enrollment ID: I20231011001589
Provider NameKrista Pasquale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215633508
PECOS PAC ID: 2264882109
Enrollment ID: I20231219001528
Provider NameCrystal Eujenia Molina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558141754
PECOS PAC ID: 4385097757
Enrollment ID: I20240201002070
Provider NameMonalisa Churchman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043080104
PECOS PAC ID: 8527403336
Enrollment ID: I20240304000745
Provider NameVanessa Rodriguez Andrada
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1942071238
PECOS PAC ID: 7719322437
Enrollment ID: I20240304001412
Provider NameKhusboo Surtani
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1023665221
PECOS PAC ID: 4183060569
Enrollment ID: I20240307001822
Provider NameSean Welch
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1801451653
PECOS PAC ID: 2567803125
Enrollment ID: I20240514001181
Provider NameChiniqua L Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861265233
PECOS PAC ID: 4082158571
Enrollment ID: I20240625003373
Provider NameNadia Morales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356120729
PECOS PAC ID: 9032653340
Enrollment ID: I20240627002586
Provider NameRoselyn Omungo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467212282
PECOS PAC ID: 9739623091
Enrollment ID: I20240627004199
Provider NameMary Willow Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124889217
PECOS PAC ID: 1557801701
Enrollment ID: I20240913002994
Provider NameEmily Lombardo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720836158
PECOS PAC ID: 0143751404
Enrollment ID: I20240927001363
Provider NameAhmad Ahsen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952987075
PECOS PAC ID: 0345771010
Enrollment ID: I20241004002362
Provider NamePriyanka Suzanne Mooney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750129425
PECOS PAC ID: 5294267977
Enrollment ID: I20241018002740
Provider NameMenuka Prasain Dhakal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508691510
PECOS PAC ID: 4789116237
Enrollment ID: I20241022002627
Provider NameMevelyn Morse
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1841231909
PECOS PAC ID: 6204881154
Enrollment ID: I20241031004517
Provider NameMark Bentley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730767138
PECOS PAC ID: 7810397270
Enrollment ID: I20241101001406
Provider NameVamsi Garimella
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639745706
PECOS PAC ID: 5193259158
Enrollment ID: I20241113001820
Provider NameAngela Y Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144045832
PECOS PAC ID: 1951837129
Enrollment ID: I20241211001875
Provider NameAnais Santoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952116691
PECOS PAC ID: 9537680855
Enrollment ID: I20250304000017
Provider NameEmily Gonzales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871398636
PECOS PAC ID: 1850812108
Enrollment ID: I20250304000956
Provider NameSeyed Mahdi Hosseini Siahkalmahalleh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861217259
PECOS PAC ID: 4183145444
Enrollment ID: I20250304001404
Provider NameJoni Maxwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003637208
PECOS PAC ID: 9931620457
Enrollment ID: I20250312002755
Provider NameOyindamola Stella Akinkugbe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124845359
PECOS PAC ID: 6507388758
Enrollment ID: I20250318001541
Provider NameUgochukwu Okonkwo
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1831818970
PECOS PAC ID: 6204358914
Enrollment ID: I20250321001841
Provider NameElizabeth Marcum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962214882
PECOS PAC ID: 5597288761
Enrollment ID: I20250327003930
Provider NameAnuradha Gurram
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295547172
PECOS PAC ID: 5496278566
Enrollment ID: I20250328003165
Provider NameSheryl Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659179661
PECOS PAC ID: 3476079302
Enrollment ID: I20250423003923
Provider NameSamantha Ann Logue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518764406
PECOS PAC ID: 6608392907
Enrollment ID: I20250430000207
Provider NameLiza Schwarz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184411076
PECOS PAC ID: 5092233650
Enrollment ID: I20250516002595
Provider NameAriana Lerma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477284214
PECOS PAC ID: 6204354541
Enrollment ID: I20250520001486
Provider NameBetty Obuya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619479623
PECOS PAC ID: 3870011034
Enrollment ID: I20250520004877
Provider NameSidney Nicole Villa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558164467
PECOS PAC ID: 2860911211
Enrollment ID: I20250528003796
Provider NameChristy Lynn Ponce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467293258
PECOS PAC ID: 7416461645
Enrollment ID: I20250709002094
Provider NameEmily Sun
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1144958430
PECOS PAC ID: 4880100403
Enrollment ID: I20250721004030
Provider NameChristen Samira Smith
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1952029217
PECOS PAC ID: 5597265157
Enrollment ID: I20250826004934
Provider NameSydney English
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003708066
PECOS PAC ID: 1557862125
Enrollment ID: I20250827002067
Provider NameDenise Balingit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588057921
PECOS PAC ID: 8628572583
Enrollment ID: I20250916000784
Provider NameOluwayemisi Ogunbiyi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932961976
PECOS PAC ID: 7416482237
Enrollment ID: I20250917000762
Provider NameElise Danielle Guzme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487542957
PECOS PAC ID: 1254829575
Enrollment ID: I20251020001230
Provider NameMiroslav Nesovic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740153790
PECOS PAC ID: 1456840214
Enrollment ID: I20251030004692
Provider NameBreanne Bergeon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669358933
PECOS PAC ID: 2466942024
Enrollment ID: I20251103004145
Provider NameMartin Angel Perez Escamilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497636161
PECOS PAC ID: 6103317649
Enrollment ID: I20251112004449
Provider NameKeisha Wiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740170828
PECOS PAC ID: 6305332461
Enrollment ID: I20251229002071
Provider NameVanessa Cantu Peralez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336002922
PECOS PAC ID: 5698261907
Enrollment ID: I20260106003196
Provider NameSamantha Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790635746
PECOS PAC ID: 8820579550
Enrollment ID: I20260220002357
Provider NameMaria Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285596643
PECOS PAC ID: 6507347846
Enrollment ID: I20260224004361
Provider NameKushal Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386063782
PECOS PAC ID: 9436432861
Enrollment ID: I20260309001202
Provider NameManojna Vosberg
Provider TypePractitioner - Neuropsychiatry
Provider IdentifiersNPI Number: 1639756695
PECOS PAC ID: 2961979240
Enrollment ID: I20260423002097
Provider NameLizbet Castillo Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215885199
PECOS PAC ID: 1759858590
Enrollment ID: I20260429001727

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.