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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW PELLEGRIN MD
NPI 1013365832
Family Medicine in Jbsa Randolph, TX

Active since June 02, 2016PECOS Enrolled
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150(210) 652-8544 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2021, Aug 19, 2021, Jul 25, 2019 and 2 more (5 updates tracked since 2018).

About Andrew Pellegrin Md NPPES

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

ANDREW PELLEGRIN MD (NPI 1013365832) is an individual family medicine provider in Jbsa Randolph, Texas, licensed in Nebraska (30354) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013365832
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW PELLEGRINCredential: MD
Location Address221 3RD ST W BLDG 1040Jbsa Randolph, TX 78150-4800
Mailing Address221 3rd St W Bldg 1040Jbsa Randolph, TX 78150-4800 · (210) 652-8544
Phone(210) 652-8544
Sole ProprietorNo
Enumeration DateJune 2, 2016
Last NPPES UpdateJune 29, 20265 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1013365832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 30354
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.
221 3RD ST W BLDG 1040, Jbsa Randolph, TX 78150
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Pellegrin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78150 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.

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.

TIMOTHY T ERHARDT LICSW, LCSW
Social Worker (Clinical)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Bexar County (210) 652-8544
MRS. CHRISTY-LYNNE MARIE MCGINNIS PA
Physician Assistant
221 3RD ST W BLDG 1040
RANDOLPH AFB, TX 78150
Bexar County (210) 652-8544
MARY TEMITOPE ILESO DO
Family Medicine
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Bexar County (210) 652-4127
MS. BEATRICE CARRASCO ARRAMBIDE WHCAPN
Nurse Practitioner (Women's Health)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Bexar County (210) 652-8544
DR. TODD R. HOWELL M.D.
Family Medicine
221 3RD ST W BLDG 1040
RANDOLPH AFB, TX 78150
Bexar County (830) 456-1415
ZIZI A ZEMEHERET LCSW
Social Worker (Clinical)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Bexar County (210) 652-2448
HALEY GILL DPT, OCS
Physical Therapist (Orthopedic)
221 3RD ST W BLDG 1040
UNIVERSAL CITY, TX 78150
Bexar County (210) 652-6065
JAY ZEMEHERET LCSW
Social Worker (Clinical)
221 3RD ST W BLDG 1040
RANDOLPH AFB, TX 78150
Bexar County (210) 652-6403

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 Andrew Pellegrin's NPI number?

The NPI number for Andrew Pellegrin is 1013365832. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Andrew Pellegrin located?

Andrew Pellegrin practices at 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150. The listed phone number is (210) 652-8544.

What is Andrew Pellegrin's specialty?

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

Is Andrew Pellegrin enrolled in Medicare?

Yes. Andrew Pellegrin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Pellegrin was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.