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SAPNA RAGHUNATHAN MD
NPI 1003225848
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Antonio, TX

Active since August 06, 2014PECOS EnrolledAccepts Medicare Assignment
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229(210) 450-9490(210) 450-6065 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2022, Jun 26, 2020 (2 updates tracked since 2020).

About Sapna Raghunathan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAPNA RAGHUNATHAN MD (NPI 1003225848) is an individual endocrinology, diabetes & metabolism provider in San Antonio, Texas, licensed in Texas (T5006) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003225848
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSAPNA RAGHUNATHANCredential: MD
Location Address8300 FLOYD CURL DRSan Antonio, TX 78229-3931
Mailing Address8300 Floyd Curl DrSan Antonio, TX 78229-3931 · (210) 450-9490 · Fax (210) 450-6065
Phone(210) 450-9490
Fax(210) 450-6065
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 6, 2014
Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1003225848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in TX · T5006✔ Licensed in PA · MD468932
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License T5006 (TX)
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License T5006 (TX)
8300 FLOYD CURL DR, San Antonio, TX 78229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Imperial Insurance Companies, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sapna Raghunathan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880980333
PECOS Enrollment IDI20220930000765, I20251028004493
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services32 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
29 services24 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
19 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers19 claims235 services$17.96 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers19 claims610 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers28 claims106 services$4.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers11 claims15 services$0.98 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers23 claims1,700 services$6.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers188 claims188 services$180.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THERESA LYNN STEWART M.D
Obstetrics & Gynecology (Maternal & Fetal Medicine)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9500
ANNETTE B MARTIN PT
Physical Therapist
8300 FLOYD CURL DR, 4TH FLOOR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9700
MATTHEW M BRIGMON MD
Internal Medicine (Infectious Disease)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9800
ASHLEY GERSHNER PA-C
Physician Assistant
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300
LAAVANYA RAJU M.D.
Family Medicine
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9100
DR. AARON J.M. BOIS MD, MSC, FRCSC
Orthopaedic Surgery
8300 FLOYD CURL DR, 3RD FLOOR -3C
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300
DR. PHILIP M JACOBS M.D.
Orthopaedic Surgery
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300
DR. REZA BEHROUZ D.O.
Psychiatry & Neurology (Vascular Neurology)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sapna Raghunathan's NPI number?

The NPI number for Sapna Raghunathan is 1003225848. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Sapna Raghunathan located?

Sapna Raghunathan practices at 8300 Floyd Curl Dr, San Antonio, TX 78229. The listed phone number is (210) 450-9490.

What is Sapna Raghunathan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sapna Raghunathan enrolled in Medicare?

Yes. Sapna Raghunathan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sapna Raghunathan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Imperial Insurance Companies, Inc. and UnitedHealthcare list Sapna Raghunathan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sapna Raghunathan affiliated with any hospitals?

According to CMS data, Sapna Raghunathan is affiliated with Shannon Medical Center and Campbell County Health.

When was this NPI record last updated?

The NPPES record for Sapna Raghunathan was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.