CARLOS ALBERTO FLORES ORIA MD
NPI 1154705762
Pediatrics - Pediatric Pulmonology in San Antonio, TX
About Carlos Alberto Flores Oria Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS ALBERTO FLORES ORIA MD (NPI 1154705762) is an individual pediatric pulmonology provider in San Antonio, Texas, licensed in Texas (R8351) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Carlos Alberto Flores Oria Md 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
2Medicare enrollment records show Carlos Flores Oria reassigns Medicare billing to 2 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
Eagle Pass, TX 78852
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Eliezer Hernandez MD PA
- 3 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carlos Flores Oria's NPI number?
The NPI number for Carlos Flores Oria is 1154705762. It was assigned to this individual provider in the NPPES registry on July 13, 2015.
Where is Carlos Flores Oria located?
Carlos Flores Oria practices at 4502 Medical Dr Fl 3, San Antonio, TX 78229. The listed phone number is (210) 358-3436.
What is Carlos Flores Oria's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is Carlos Flores Oria enrolled in Medicare?
Yes. Carlos Flores Oria 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 Carlos Flores Oria's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Flores Oria reassigns Medicare benefits to 2 organizations: Uthscsa Dental School (San Antonio, TX) and Eliezer Hernandez MD P.A. (Eagle Pass, TX). 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 Carlos Flores Oria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Flores Oria 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 4 other insurers list Carlos Flores Oria 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 Carlos Flores Oria was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carlos Alberto Flores Oria, MD · NPI 1154705762
Pediatric Pulmonology physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since July 13, 2015.
## Identity
- **NPI:** 1154705762 (Entity type: Individual)
- **Enumerated:** July 13, 2015
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** R8351 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4502 MEDICAL DR FL 3, San Antonio, TX 78229-4402
- **Phone:** (210) 358-3436 · **Fax:** (210) 702-4567
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Uthscsa Dental School (NPI 1750403887, San Antonio, TX); Eliezer Hernandez MD P.A. (NPI 1770540684, Eagle Pass, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154705762) · Data from the CMS NPPES public registry.