DR. SONNY HUITRON (D.O.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1023201993

DR. SONNY HUITRON (D.O.) is a healthcare provider. based in Fort sam houston, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials D.O.. They hold a License No. Q1418 (TX). The NPI Number for DR. SONNY HUITRON (D.O.) is 1023201993

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. SONNY HUITRON (D.O.)
NPI
1023201993
Phone
(210) 916-2460
Address
3851 ROGER BROOKE DRIVE
Enumeration Date
23 August 2007
Last Update Date
18 August 2022

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
9155330800
Graduation Year
2006 (20 years ago)
PAC ID
4789917584
Group Practice PAC ID
3476627878
Professional Enrollment ID
I20190611000982
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for DR. SONNY HUITRON (D.O.)

  • 3851 ROGER BROOKE DRIVE

    MCHE-QD(CREDS)

    FORT SAM HOUSTON, TX 782346200

    Phone: (210) 916-2460

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-06-11

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
I20190611000982IPathologyTXTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity3816$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 3476627878View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
-TX
Radiation OncologyTX
U R O L O G YTX
U R O L O G YTX
Diagnostic RadiologyNH
Nurse PractitionerNM
U R O L O G YTX
U R O L O G YTX

Reviews

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Frequently asked questions

How do payers reference DR. SONNY HUITRON (D.O.)?
For DR. SONNY HUITRON (D.O.), use NPI 1023201993 as the unique 10-digit identifier.
Active or inactive — what applies to DR. SONNY HUITRON (D.O.)?
You should see DR. SONNY HUITRON (D.O.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. SONNY HUITRON (D.O.)?
At a glance, DR. SONNY HUITRON (D.O.) is tied to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SONNY HUITRON (D.O.)?
Directory geography for DR. SONNY HUITRON (D.O.) centers on Fort Sam Houston, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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