San Antonio State Hospital – Psychiatric Hospital, NPI 1972511921
Psychiatric Hospital
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for San Antonio State Hospital
701 W 51ST ST # MC-E619
AUSTIN, TX 787512312
Phone: (512) 438-5618
Fax: (512) 438-4220
Type: Mailing
100, South New Braunfels Avenue, San Antonio, Bexar County, Texas, 78203, United States
SAN ANTONIO, TX 782233002
Phone: (210) 531-7805
Fax: (210) 531-7796
Type: Location
Austin State Hospital, 4110, Guadalupe Street, Central Austin, Austin, Travis County, Texas, 78751, United States
HOSPITAL REVENUE MGMT-MC2023
AUSTIN, TX 787514223
Phone: (512) 206-5284
Fax: (512) 206-5302
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: 2017-08-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170831002910 | O | Hospital | TX | TBD |
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.
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 78751)
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