Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174526628 Deactivated / Inactive NPI Male Practitioner

Dr. Angel R Jimenez , MD

Surgery • Shavano Park, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Angel Jimenez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 28, 2005
NPI Deactivation Date May 24, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Angel Jimenez, MD was a registered Surgery practicing in Shavano Park, TX. Throughout an active medical career spanning 14 years, Dr. Jimenez provided care at the practice location at 16099 NW MILITARY HWY until profile deactivation on 2019-05-24.

Practice Location & Contact Primary Location

Practice Address

16099 Nw Military Hwy

Shavano Park, TX 782311217

Telephone 2102245563
Associated Practice Facility / Clinic
🏢 Angel R Jimenez Md Pa Facility NPI 1043466857

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Shavano Park, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Shavano Park, TX (2342 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX D4170

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 24, 2019

Record deactivated on May 24, 2019

NPI Profile Active February 07, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2010

Registered at 16099 NW MILITARY HWY, SHAVANO PARK, TX 782311217 (Tel: 2102245563)

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Updated Business Mailing Address February 07, 2010

Registered at 16099 NW MILITARY HWY, SHAVANO PARK, TX 782311217 (Tel: 2102245563)

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Provider Name / Credentials Updated February 07, 2010

Recorded as ANGEL JIMENEZ, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2010

Surgery (License #D4170 in TX)

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Initial NPI Registration & Enumeration May 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174526628
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2005
Last Update: February 07, 2010
Deactivation Date: May 24, 2019

Mailing Address

16099 Nw Military Hwy

Shavano Park, TX 782311217

Phone: 2102245563

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.