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DR. KELLY ANN GARDNER M.D.
NPI 1164716593
Anesthesiology in San Antonio, TX

Active since June 02, 2011PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kelly Ann Gardner M.d. NPPES

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

DR. KELLY ANN GARDNER M.D. (NPI 1164716593) is an individual anesthesiology provider in San Antonio, Texas, licensed in Texas (Q2550) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2011).

NPPES Registry Identity

NPI1164716593
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. KELLY ANN GARDNERCredential: M.D.
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 567-4500
Phone(210) 358-4000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2011
Enumeration DateJune 2, 2011
Last NPPES UpdateAugust 7, 2015
✔ NPI 1164716593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · Q2550
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
4502 MEDICAL DR, San Antonio, TX 78229
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Other Identifiers 2

Medicaid346004001TX
Medicare PIN412009YK00TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First and more.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. Kelly Ann Gardner 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 ID6002136280
PECOS Enrollment IDI20150529001416
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 Reassignments

3

Medicare enrollment records show Kelly Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School
0.2 mi
Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
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
NPI 1750403887 (210) 567-3274
Community Medicine Associates
7.0 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401
Endo Sedation LLC
208 mi
Nurse Anesthetist, Certified Registered
1015 W MEDICAL CENTER BLVD STE 1200
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 710 clinicians in this Medicare group
NPI 1811464936 (281) 554-3494

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO N. POLLONO MD
Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
DR. MAHDIEH IRAN NEJAD PARIZI M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
RICHARD LEE BALLENTINE D.M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
MR. STEVAN REYES PTA
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4253
MRS. CLAIRE LELEUX BEADLE CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
NNENNA AWAGU CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4500
DR. CYNTHIA N NGUYEN PHARMD
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 743-4034
DR. JONATHAN EDWARD SLOVIK MD
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000

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 Kelly Gardner's NPI number?

The NPI number for Kelly Gardner is 1164716593. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Kelly Gardner located?

Kelly Gardner practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.

What is Kelly Gardner's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kelly Gardner enrolled in Medicare?

Yes. Kelly Gardner 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 Kelly Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gardner reassigns Medicare benefits to 3 organizations: Uthscsa Dental School (San Antonio, TX), Community Medicine Associates (San Antonio, TX) and Endo Sedation LLC (Webster, 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 Kelly Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Gardner accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First and Imperial Insurance Companies, Inc. list Kelly Gardner 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 Kelly Gardner was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.