| Jibrail Kasperkhan, M.D. PLLC | |
|
21902 Franklin Park Apt 1308 San Antonio TX 78259-2193 | |
| (210) 479-1955 | |
| (210) 764-1561 |
| Full Name | Jibrail Kasperkhan, M.D. PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 21902 Franklin Park Apt 1308, San Antonio, Texas |
| Authorized Official Name and Position | Jibrail Kasperkhan (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 2104791955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jibrail Kasperkhan, M.D. PLLC 1150 N Loop 1604 W Suite 108-641 San Antonio TX 78248-4503 Ph: (210) 479-1955 | Jibrail Kasperkhan, M.D. PLLC 21902 Franklin Park Apt 1308 San Antonio TX 78259-2193 Ph: (210) 479-1955 |
| NPI Number | 1215164843 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 7719168236 |
|---|---|
| Medicare Enrollment ID | O20110216000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215164843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | M0453 (Texas) | Primary |
| Provider Name | Jibrail Kasperkhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245277300 PECOS PAC ID: 2264487107 Enrollment ID: I20050314000963 |
| Provider Name | Elena Pogosian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962687905 PECOS PAC ID: 7911168109 Enrollment ID: I20120416000343 |
| Provider Name | Christina L Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962034694 PECOS PAC ID: 1153744685 Enrollment ID: I20200630003617 |
| Provider Name | Bianca George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326628777 PECOS PAC ID: 6901202613 Enrollment ID: I20210903002060 |
| Provider Name | Kayla Renee Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346923950 PECOS PAC ID: 7517314123 Enrollment ID: I20231103000285 |
| Provider Name | Daniela Mello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720835390 PECOS PAC ID: 9335680800 Enrollment ID: I20240924003057 |
| Provider Name | Jennifer Lauren Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811496789 PECOS PAC ID: 9931431632 Enrollment ID: I20260109003687 |
Texas Bariatric Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd # 650b, San Antonio, TX 78229 Phone: 713-464-7555 Fax: 713-464-0219 |
Doctor at Your Service PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 |
Alexis Wiesenthal MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 |
Communicare Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooklyn Ave Ste 300, San Antonio, TX 78212 Phone: 210-225-5930 Fax: 210-476-0246 |
Insulin Rounds P a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 |