TEJAS ANESTHESIA PLLC – Anesthesiology Physician, NPI 1659383305
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TEJAS ANESTHESIA PLLC
2240 GULF FWY S
LEAGUE CITY, TX 775735143
Phone: (954) 939-5000
Fax: (866) 250-6889
Type: Location
8550 Huebner Rd
San Antonio, TX 782401803
Phone: (210) 541-5300
Type: Location
1927 Rogers Rd
San Antonio, TX 782514614
Phone: (210) 267-1410
Type: Location
5510 Presidio Pkwy
San Antonio, TX 782493192
Phone: (210) 575-4000
Type: Location
4242 Medical Dr Ste 1260
San Antonio, TX 782295641
Phone: (210) 615-1187
Fax: (210) 614-2180
Type: Location
4242 MEDICAL DR STE 1260
SAN ANTONIO, TX 782295641
Phone: (210) 615-1187
Fax: (210) 614-2180
Type: Location
PO BOX 744976
ATLANTA, GA 303744976
Phone:
Type: Mailing
Noel Road, Dallas, Dallas County, Texas, 75254, United States
DALLAS, TX 752401374
Phone:
Type: Mailing
4242, Medical Drive, San Antonio, Bexar County, Texas, 78229, United States
STE #3100
SAN ANTONIO, TX 782295640
Phone: (210) 615-1187
Fax: (210) 614-2180
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: 2004-06-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (159 days ago).
Enrollment records
1
Earliest due date
2025-12-31
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 |
|---|---|---|---|---|
| O20040601000304 | O | Clinic/Group Practice | TX | 2025-12-31 |
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 77573)
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