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THEODORA KULESZA-GALVEZ MD
NPI 1013323450
Family Medicine in San Antonio, TX

Active since July 07, 2014PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2221946 · Waiver
5414 FREDERICKSBURG RD STE 260, SAN ANTONIO, TX 78229(210) 452-2669 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2021, Apr 30, 2021, Apr 17, 2021 and 1 more (4 updates tracked since 2018).

About Theodora Kulesza-galvez Md NPPES

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

THEODORA KULESZA-GALVEZ MD (NPI 1013323450) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (R7043) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 25, 2027, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013323450
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODORA KULESZA-GALVEZCredential: MD
Location Address5414 FREDERICKSBURG RD STE 260San Antonio, TX 78229-3763
Mailing Address5414 Fredricksburg Rd, Ste 260 Bldg BSan Antonio, TX 78229-3763 · (726) 600-1775
Phone(210) 452-2669
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 7, 2014
Last NPPES UpdateMay 28, 20214 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1013323450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · R7043✔ Licensed in NJ · 25MA10059700
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5414 FREDERICKSBURG RD STE 260, San Antonio, TX 78229
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Secondary Practice Locations 2

Location 11135 Broad St, Ste 201Clifton, NJ 07013-3346 · Phone (973) 754-4100 · Fax (973) 754-4190
Location 2184 Essex StLodi, NJ 07644-2707 · Phone (201) 843-3207

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Theodora Kulesza-galvez 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 ID4688946445
PECOS Enrollment IDI20180719002760
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2221946

Theodora Kulesza-Galvez MD PA Dba Galvez Family Medicine · San Antonio, TX
Active · expires Apr 25, 2027
CLIA Number45D2221946
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorTheodora Kulesza-Galvez
Laboratory Phone(726) 600-1776
Laboratory LocationTheodora Kulesza-Galvez MD PA Dba Galvez Family Medicine4230 Gardendale Rd, Unit 301, San Antonio, TX 78229
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 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.
78 services28 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
43 services21 patients
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.
27 services15 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
25 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services12 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
15 services11 patients

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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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

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

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
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Theodora Kulesza-galvez's NPI number?

The NPI number for Theodora Kulesza-galvez is 1013323450. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Theodora Kulesza-galvez located?

Theodora Kulesza-galvez practices at 5414 Fredericksburg Rd Ste 260, San Antonio, TX 78229. The listed phone number is (210) 452-2669.

What is Theodora Kulesza-galvez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodora Kulesza-galvez enrolled in Medicare?

Yes. Theodora Kulesza-galvez 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.

Does Theodora Kulesza-galvez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2221946) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Theodora Kulesza-galvez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Theodora Kulesza-galvez 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.

When was this NPI record last updated?

The NPPES record for Theodora Kulesza-galvez was last updated on May 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.