ENRICO PAEZ (PA-C) – Physician Assistant, NPI 1487672499

ENRICO PAEZ (PA-C) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA04826 (TX). The NPI Number for ENRICO PAEZ (PA-C) is 1487672499

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ENRICO PAEZ (PA-C)
NPI
1487672499
Phone
(210) 614-6070
Address
21 SPURS LN STE 100
Enumeration Date
17 July 2006
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104507044
Graduation Year
2000 (26 years ago)
PAC ID
0042397044
Group Practice PAC ID
0042128548
Professional Enrollment ID
I20080401000527
Address ID
TX782293741SA8311XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for ENRICO PAEZ (PA-C)

  • 21 SPURS LN STE 100

    SAN ANTONIO, TX 782401670

    Phone: (210) 614-6070

    Fax: (210) 615-6814

    Type: Mailing

  • 21, Spurs Lane, San Antonio, Bexar County, Texas, 78240, United States

    SUITE 100

    SAN ANTONIO, TX 782401669

    Phone: (210) 614-6070

    Fax: (210) 615-6814

    Type: Location

  • 1100 WILFORD HALL LOOP BLDG 4554

    JBSA LACKLAND, TX 782365638

    Phone: (210) 292-5840

    Type: Mailing

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: 2008-04-01

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
I20080401000527IPhysician AssistantTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 78240)

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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: 0042128548View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ENRICO PAEZ (PA-C)'s NPI?
Yes. ENRICO PAEZ (PA-C) is listed with NPI 1487672499 in the public NPI dataset.
Does the file indicate ENRICO PAEZ (PA-C) is practicing under active NPI?
Directory data currently reports ENRICO PAEZ (PA-C) as active.
What is ENRICO PAEZ (PA-C)'s primary classification?
Physician Assistant is the headline specialty for ENRICO PAEZ (PA-C) here. Clinical services aligned with this taxonomy classification.
What area does ENRICO PAEZ (PA-C) serve?
ENRICO PAEZ (PA-C)'s listing highlights San Antonio, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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