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DR. ALFREDO SARDINAS JR. M.D.
NPI 1164719100
Internal Medicine - Rheumatology in Houston, TX

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
72.39/100
CMS Quality Rating
427 W 20TH ST STE 220, HOUSTON, TX 77008(713) 869-0850(762) 212-5020 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alfredo Sardinas Jr. M.d. NPPES

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

DR. ALFREDO SARDINAS JR. M.D. (NPI 1164719100) is an individual rheumatology provider in Houston, Texas, licensed in Texas (R1124) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Harlingen, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164719100
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ALFREDO SARDINAS JR.Credential: M.D.
Location Address427 W 20TH ST STE 220Houston, TX 77008
Mailing Address427 W 20th St Ste 220Houston, TX 77008-2400 · (713) 869-0850 · Fax (762) 212-5020
Phone(713) 869-0850
Fax(762) 212-5020
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 28, 2011
Last NPPES UpdateNovember 1, 2019
✔ NPI 1164719100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in TX · R1124
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10040355 (TX)
427 W 20TH ST STE 220, Houston, TX 77008
Open in Google Maps ↗

Secondary Practice Location 1

Location 12102 Treasure Hills Blvd, RAHC Dept of Medicine Room 2.136.03Harlingen, TX 78550-8736 · Phone (832) 477-8309

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 and accepts Medicare assignment

Dr. Alfredo Sardinas Jr. 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 ID6002191152
PECOS Enrollment IDI20170515001591
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services80 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

72.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40

Reported Quality Measures

Advance Care Plan
98%58 patients4/55-star benchmark: 100%
Breast Cancer Screening
100%89 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
93%129 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%411 patients5/55-star benchmark: 100%
e-Prescribing
100%2,450 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%2,450 patients5/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
100%1,435 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

ALFREDO SARDINAS JR MD PA
Internal Medicine (Rheumatology)
427 W 20TH ST STE 220
HOUSTON, TX 77008
Harris County (713) 869-0850
ALFREDO SARDINAS MD PA
Orthopaedic Surgery
427 W 20TH ST STE 220
HOUSTON, TX 77008
Harris County (713) 869-0850

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 Alfredo Sardinas's NPI number?

The NPI number for Alfredo Sardinas is 1164719100. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Alfredo Sardinas located?

Alfredo Sardinas practices at 427 W 20th St Ste 220, Houston, TX 77008. The listed phone number is (713) 869-0850.

What is Alfredo Sardinas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Alfredo Sardinas enrolled in Medicare?

Yes. Alfredo Sardinas 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.

What insurance does Alfredo Sardinas 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 5 other insurers list Alfredo Sardinas 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 Alfredo Sardinas was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.