DR. REBECCA ELIZABETH FIDELLOW (M.D.) – Adult Medicine Physician, NPI 1700810983

DR. REBECCA ELIZABETH FIDELLOW (M.D.) is a healthcare provider. based in San antonio, Texas. specializing in Adult Medicine Physician. They hold the professional credentials M.D.. They hold a License No. L1572 (TX). The NPI Number for DR. REBECCA ELIZABETH FIDELLOW (M.D.) is 1700810983

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA ELIZABETH FIDELLOW (M.D.)
NPI
1700810983
Phone
(210) 363-5889
Address
5804 BABCOCK RD
Enumeration Date
11 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2104509000
Graduation Year
1997 (29 years ago)
PAC ID
1951340066
Group Practice PAC ID
0042128548
Professional Enrollment ID
I20061116000509
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. REBECCA ELIZABETH FIDELLOW (M.D.)

  • 5804, Babcock Road, San Antonio, Bexar County, Texas, 78240, United States

    #360

    SAN ANTONIO, TX 782402134

    Phone: (210) 363-5889

    Type: Mailing

  • 4415, Centerview Drive, San Antonio, Bexar County, Texas, 78228, United States

    SAN ANTONIO, TX 782281403

    Phone: (210) 363-5889

    Type: Location

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: 2006-11-16

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
I20061116000509IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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

What identifier follows DR. REBECCA ELIZABETH FIDELLOW (M.D.) across health systems?
The NPI 1700810983 uniquely identifies DR. REBECCA ELIZABETH FIDELLOW (M.D.) in U.S. healthcare data.
Is DR. REBECCA ELIZABETH FIDELLOW (M.D.)'s NPI status active today?
Active status means DR. REBECCA ELIZABETH FIDELLOW (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. REBECCA ELIZABETH FIDELLOW (M.D.) does?
Insurance directories may phrase it differently, but here DR. REBECCA ELIZABETH FIDELLOW (M.D.) maps to Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. REBECCA ELIZABETH FIDELLOW (M.D.)?
DR. REBECCA ELIZABETH FIDELLOW (M.D.) is associated with San Antonio, Texas in the same public data insurers reference.
Can I export DR. REBECCA ELIZABETH FIDELLOW (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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