NPI age
11 years
Enumerated 2014-10-30
● Active Type 2 · Organization
Conviva Medical Center Management Of Texas, P.A.
Conviva Medical Center Management Of Texas, P.A. is 1 of 12343 internal medicine organizations in Texas.
Primary specialty
Internal Medicine
Plus 3 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Bonetti
Associate Director
Last NPPES update
2024-06-21
Source: monthly bulk 2026-05
How this organization compares
Across 12343 active internal medicine providers in Texas.
NPI age
11 years
↓ 6 yr below median
Practice locations
2
1 secondary on file
Subspecialties
3
In the 33% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-10Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
12602 Toepperwein Rd Ste 100
Live Oak, TX 782333204
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 331263168
Additional practice locations
1 secondary location on file with NPPES.
Location 2
12602 Toepperwein Rd Ste 100
Live Oak, TX 782333204
Authorized official
Jessica Bonetti
Associate Director
📞 7865078556
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Fahd Almohid, M.D. Internal Medicine NPI 1346669587
- Hal Cardiff Pharmacist NPI 1851989974
- Donald Detmering, M.D. Family Medicine NPI 1770530016
- Neelima Gaddam, MD Internal Medicine NPI 1134847726
- Shaina Momin, NP Nurse Practitioner NPI 1699248286
- Roxanne Rodriguez, P.A.-C Physician Assistant NPI 1093989352
- Jennifer Solis, NP-C Internal Medicine NPI 1679173652
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
Clinic/CenterDefinition to come...
-
Family MedicineFamily 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...
-
General PracticeA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 350315301 |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.