DR. RAJA S. PATHAPATI M.D.
NPI 1083669501
Hospitalist in San Antonio, TX
About Dr. Raja S. Pathapati M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAJA S. PATHAPATI M.D. (NPI 1083669501) is an individual hospitalist provider in San Antonio, Texas, licensed in Louisiana (340829) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Terrebonne General Medical Center - Parish, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 2
Accepted 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
Dr. Raja S. Pathapati 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.
Medicare Billing Reassignments
11Medicare enrollment records show Raja Pathapati reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: University Of Texas Health Science Center At San Antonio
- 2,397 clinicians in this Medicare group
San Antonio, TX 78205
- Reassigned Medicare billing, Texas enrollment
- 478 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 828 clinicians in this Medicare group
Corpus Christi, TX 78414
- Reassigned Medicare billing, Texas enrollment
- 90 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Sulphur, LA 70663
- Reassigned Medicare billing, Louisiana enrollment
- 121 clinicians in this Medicare group
Mcalester, OK 74501
- Reassigned Medicare billing, Texas enrollment
- 70 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Monroe, LA 71201
- Reassigned Medicare billing, Louisiana enrollment
- 222 clinicians in this Medicare group
Houma, LA 70360
- Reassigned Medicare billing, Louisiana enrollment
- 76 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Terrebonne General Medical Center - Parish
Acute Care Hospitals · Houma, LASt Francis Medical Center
Acute Care Hospitals · Monroe, LABaptist Medical Center
Acute Care Hospitals · San Antonio, TXSouth Texas Spine And Surgical Hospital
Acute Care Hospitals · San Antonio, TXResolute Health Hospital
Acute Care Hospitals · New Braunfels, TXPhysician 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.
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
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.
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.
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
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 Raja Pathapati's NPI number?
The NPI number for Raja Pathapati is 1083669501. It was assigned to this individual provider in the NPPES registry on May 23, 2006.
Where is Raja Pathapati located?
Raja Pathapati practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.
What is Raja Pathapati's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Raja Pathapati enrolled in Medicare?
Yes. Raja Pathapati 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 organizations bill Medicare for Raja Pathapati's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raja Pathapati reassigns Medicare benefits to 11 organizations: Uthscsa Dental School (San Antonio, TX), Sound Inpatient Physicians Of Texas I, Inc (San Antonio, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Hospital Care Consultants Of Corpus Christi (Corpus Christi, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and 6 more organizations, listed in the Medicare section above. Each 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 Raja Pathapati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raja Pathapati accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMO Louisiana and Molina Healthcare and 2 other insurers list Raja Pathapati 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 Raja Pathapati affiliated with any hospitals?
According to CMS data, Raja Pathapati is affiliated with Terrebonne General Medical Center - Parish, St Francis Medical Center, Baptist Medical Center, South Texas Spine And Surgical Hospital and Resolute Health Hospital.
When was this NPI record last updated?
The NPPES record for Raja Pathapati was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Raja S. Pathapati, M.D. · NPI 1083669501
Hospitalist physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1083669501 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 340829 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4502 MEDICAL DR, San Antonio, TX 78229-4402
- **Phone:** (210) 358-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Uthscsa Dental School (NPI 1750403887, San Antonio, TX); Sound Inpatient Physicians Of Texas I, Inc (NPI 1811321797, San Antonio, TX); Usacs Integrated Acute Care Services Of Texas, PLLC (NPI 1801300322, Cedar Park, TX); Hospital Care Consultants Of Corpus Christi (NPI 1275088452, Corpus Christi, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** January 27, 2025
- **Other identifiers:** Other M6335 (TX); Other ME71265 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1083669501) · Data from the CMS NPPES public registry.