DR. POLO ALBERTO BANUELOS (M.D.) – Neurology Physician, NPI 1003072646

DR. POLO ALBERTO BANUELOS (M.D.) is a healthcare provider. based in San antonio, Texas. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. M9832 (TX). The NPI Number for DR. POLO ALBERTO BANUELOS (M.D.) is 1003072646

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. POLO ALBERTO BANUELOS (M.D.)
NPI
1003072646
Phone
(210) 520-7160
Address
11212 STATE HIGHWAY 151
Enumeration Date
4 August 2008
Last Update Date
27 February 2023

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7277255060
Graduation Year
2004 (22 years ago)
PAC ID
9537219217
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20221114000452
Address ID
FL337631726CL2461XRDXX301

Contacts

Secure Messaging
pbanuelos390073@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
polo.BanuelosMD@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

811 NEUROLOGY in MO

Provider Addresses for DR. POLO ALBERTO BANUELOS (M.D.)

  • 11212 STATE HIGHWAY 151

    MEDICAL PLAZA 1, SUITE 200

    SAN ANTONIO, TX 782514498

    Phone: (210) 520-7160

    Fax: (210) 520-7190

    Type: Mailing

  • 1055 Bowles Ave

    Suite 200

    St. Louis, MO 63117

    Phone: (314) 925-4773

    Type: Location

  • 300 Pinellas St # 47

    Clearwater, FL 337563804

    Phone: (727) 462-7907

    Fax: (727) 462-7904

    Type: Location

  • 9730 WESTOVER HILLS BLVD STE 105

    SAN ANTONIO, TX 782514842

    Phone: (210) 520-7160

    Fax: (210) 520-7190

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: ARGENX US, INC. ($100).

Total Amount

$171

General + Research + Ownership

Payments

4

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20221114000452INeurologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes255243$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes159116$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes141112$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 78251)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406753623View full group profile
NameSpecialtyState
Family PracticeFL
-FL
Certified Registered Nurse Anesthetist (Crna)MI
Internal MedicineFL
Family PracticeFL
Family PracticeFL
Certified Registered Nurse Anesthetist (Crna)FL
Nurse PractitionerFL
-FL
-FL

Reviews

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Frequently asked questions

What is the standard ID for DR. POLO ALBERTO BANUELOS (M.D.) in the U.S.?
In the U.S., DR. POLO ALBERTO BANUELOS (M.D.) is identified by NPI 1003072646.
Is DR. POLO ALBERTO BANUELOS (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. POLO ALBERTO BANUELOS (M.D.) as active.
What services align with DR. POLO ALBERTO BANUELOS (M.D.)'s listing?
DR. POLO ALBERTO BANUELOS (M.D.)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. POLO ALBERTO BANUELOS (M.D.) in San Antonio, Texas?
For routing, start with San Antonio, Texas for DR. POLO ALBERTO BANUELOS (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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