Innovative Primary Care – Urgent Care Clinic/Center, NPI 1013383801
Urgent Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Innovative Primary Care
128 W Bandera Rd Ste 1
Boerne, TX 780063087
Phone: (210) 455-6253
Fax: (210) 455-6287
Type: Location
910 12th St Ste A
Bandera, TX 780033463
Phone: (210) 455-6253
Type: Location
1704 Jenkins St
Rockport, TX 783823341
Phone: (210) 455-6253
Type: Location
PO BOX 1678
HELOTES, TX 780231678
Phone: (361) 438-4000
Type: Mailing
9910 W LOOP 1604 N STE 128
SAN ANTONIO, TX 782545610
Phone: (210) 455-6253
Fax: (210) 455-6287
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: 2017-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (831 days ago).
Enrollment records
1
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170203000311 | O | Clinic/Group Practice | TX | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 78006)
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