NPPA SERVICES – Physician Assistant, NPI 1740652197
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NPPA SERVICES
2915 W BITTERS RD STE 201
SAN ANTONIO, TX 782482007
Phone:
Type: Mailing
MSC 456
PO BOX 4914
HOUSTON, TX 772104914
Phone:
Type: Mailing
5080 SPECTRUM DR STE 1100E
ADDISON, TX 750014688
Phone: (210) 566-2333
Type: Location
2967 OAK RUN PARKWAY, SUITE 505 #12
NEW BRAUNFELS, TX 781325379
Phone:
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: 2019-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (99 days ago).
Enrollment records
1
Earliest due date
2026-02-28
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 |
|---|---|---|---|---|
| O20190416000904 | O | Clinic/Group Practice | OK | 2026-02-28 |
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 78248)
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