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FUAD ANTONIO SPATH M.D.
NPI 1043527724
Internal Medicine - Nephrology in San Antonio, TX

Active since September 02, 2010PECOS EnrolledAccepts Medicare Assignment
315 N SAN SABA, SUITE 102, SAN ANTONIO, TX 78207(210) 277-1418(210) 277-1458 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Fuad Antonio Spath M.d. NPPES

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

FUAD ANTONIO SPATH M.D. (NPI 1043527724) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (P6527) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1043527724
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameFUAD ANTONIO SPATHCredential: M.D.
Location Address315 N SAN SABA, SUITE 102San Antonio, TX 78207-3154
Mailing Address315 N San Saba, Suite 102San Antonio, TX 78207-3154 · (210) 277-1418 · Fax (210) 277-1458
Phone(210) 277-1418
Fax(210) 277-1458
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 2, 2010
Last NPPES UpdateAugust 2, 2013
✔ NPI 1043527724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · P6527
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
315 N SAN SABA, San Antonio, TX 78207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. 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

Fuad Antonio Spath M.d. 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 ID1153500228
PECOS Enrollment IDI20131030000327
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
608 services171 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
336 services114 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
219 services201 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
157 services145 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670078
Location16088 San PedroSan Antonio, TX 78232 · Bexar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%136 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$11.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$48.83 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.

MR. ROMAN SITEK MD
Pediatrics
315 N SAN SABA, #1075
SAN ANTONIO, TX 78207
Bexar County (210) 223-3543
JEANNE H LOOP REGISTERES DIETITIAN
Dietitian, Registered
315 N SAN SABA, STE. 103
SAN ANTONIO, TX 78207
Bexar County (210) 738-8222
D. DEBRA ROGERS, M.D., P.A.
Obstetrics & Gynecology
315 N SAN SABA, #1180
SAN ANTONIO, TX 78207
Bexar County (210) 270-7800
DR. MEAZA T. BEKELE M.D.
Pediatrics
315 N SAN SABA, SUITE 1075
SAN ANTONIO, TX 78207
Bexar County (210) 223-3543
DR. ANDREW DE LA GARZA JR. DDS
Dentist (General Practice)
315 N SAN SABA, SUITE 925
SAN ANTONIO, TX 78207
Bexar County (210) 227-1991
MR. RICARDO ALFRED RIOJAS MD
Pediatrics
315 N SAN SABA, #1075
SAN ANTONIO, TX 78207
Bexar County (210) 223-3543
SAN ANTONIO PEDIATRIC ASSOC PA
Pediatrics
315 N SAN SABA, #1075
SAN ANTONIO, TX 78207
Bexar County (210) 223-3543
CELESTE RAQUEL BELL LMSW
Social Worker
315 N SAN SABA
SAN ANTONIO, TX 78207
Bexar County (210) 261-3100

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 Fuad Spath's NPI number?

The NPI number for Fuad Spath is 1043527724. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Fuad Spath located?

Fuad Spath practices at 315 N San Saba Suite 102, San Antonio, TX 78207. The listed phone number is (210) 277-1418.

What is Fuad Spath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Fuad Spath enrolled in Medicare?

Yes. Fuad Spath 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 Fuad Spath accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company and 1 other insurer list Fuad Spath 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 Fuad Spath affiliated with any hospitals?

According to CMS data, Fuad Spath is affiliated with Baptist Medical Center and Baptist Neighborhood Hospital Thousand Oaks.

When was this NPI record last updated?

The NPPES record for Fuad Spath was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.