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JEWEL MARIE DATRI MD, MPH
NPI 1063091601
Internal Medicine in San Antonio, TX

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
540 MADISON OAK DR STE 370, SAN ANTONIO, TX 78258(210) 943-9578(833) 455-6929 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Jun 14, 2024, Apr 2, 2021 (3 updates tracked since 2021).

About Jewel Marie Datri Md, Mph NPPES

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

JEWEL MARIE DATRI MD, MPH (NPI 1063091601) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (V4359) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2021).

NPPES Registry Identity

NPI1063091601
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJEWEL MARIE DATRICredential: MD, MPH
Location Address540 MADISON OAK DR STE 370San Antonio, TX 78258-3931
Mailing Address540 Madison Oak Dr Ste 370San Antonio, TX 78258-3931 · (210) 943-9578 · Fax (833) 455-6929
Phone(210) 943-9578
Fax(833) 455-6929
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1063091601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · V4359
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
540 MADISON OAK DR STE 370, San Antonio, TX 78258
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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, Community First.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jewel Marie Datri Md, Mph 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 ID2567861487
PECOS Enrollment IDI20241121004852
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.

Medicare Billing Reassignment

Medicare enrollment records show Jewel Datri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Barrio Comprehensive Family Health Care Center,inc
3.2 mi
Federally Qualified Health Center (FQHC)
14811 SAN PEDRO AVE
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 268 clinicians in this Medicare group
NPI 1205201142 (210) 233-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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.

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 Jewel Datri's NPI number?

The NPI number for Jewel Datri is 1063091601. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Jewel Datri located?

Jewel Datri practices at 540 Madison Oak Dr Ste 370, San Antonio, TX 78258. The listed phone number is (210) 943-9578.

What is Jewel Datri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jewel Datri enrolled in Medicare?

Yes. Jewel Datri 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.

Which organization bills Medicare for Jewel Datri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jewel Datri reassigns Medicare benefits to Barrio Comprehensive Family Health Care Center,inc (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jewel Datri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jewel Datri accept?

Health plans from Blue Cross and Blue Shield of Texas and Community First list Jewel Datri 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 Jewel Datri was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.