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DR. HETAL T. GADHIA D.O.
NPI 1114247772
Pediatrics in San Antonio, TX

Active since June 07, 2010PECOS Enrolled
71.01/100
CMS Quality Rating
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207(210) 704-3718(210) 704-4520 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Hetal T. Gadhia D.o. NPPES

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

DR. HETAL T. GADHIA D.O. (NPI 1114247772) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (P6167) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114247772
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. HETAL T. GADHIACredential: D.O.
Location Address333 N SANTA ROSA STSan Antonio, TX 78207-3108
Mailing Address315 N San Saba, Suite 1003San Antonio, TX 78207-3154 · (210) 704-3718 · Fax (210) 704-4520
Phone(210) 704-3718
Fax(210) 704-4520
Sole ProprietorNo
Enumeration DateJune 7, 2010
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1114247772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · P6167
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
333 N SANTA ROSA ST, San Antonio, TX 78207
Open in Google Maps ↗

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 (PECOS)

Dr. Hetal T. Gadhia D.o. 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 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
$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.

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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

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.

CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Audiologist
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Bexar County (210) 704-4708
DR. INGRID FRYDSON ANDRADE
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA ST, SUITE F3725
SAN ANTONIO, TX 78207
Bexar County (210) 704-3981
MARK BOSTON M.D.
Otolaryngology (Pediatric Otolaryngology)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Bexar County (210) 704-4039
ANDY GLENN SCOTT PA
Physician Assistant
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Bexar County (210) 704-2190
APRIL D. SORRELL MD
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Bexar County (210) 704-4275
MEGAN MALCHAK OBRIEN MD
Pediatrics
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Bexar County (210) 704-2190
HANNAH PHILLIPS RD
Dietitian, Registered
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Bexar County (210) 704-4708
ERIN FLAHERTY D.O.
Obstetrics & Gynecology
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Bexar County (210) 704-3235

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 Hetal Gadhia's NPI number?

The NPI number for Hetal Gadhia is 1114247772. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Hetal Gadhia located?

Hetal Gadhia practices at 333 N Santa Rosa St, San Antonio, TX 78207. The listed phone number is (210) 704-3718.

What is Hetal Gadhia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hetal Gadhia enrolled in Medicare?

Yes. Hetal Gadhia is registered in the Medicare PECOS enrollment system.

What insurance does Hetal Gadhia 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 2 other insurers list Hetal Gadhia 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 Hetal Gadhia was last updated on February 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.