POUNEH PARKS DNP, AGACNP-BC
NPI 1174379804
Nurse Practitioner - Acute Care in San Antonio, TX

Active since April 24, 2024PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR STE 614, SAN ANTONIO, TX 78229(210) 643-7412 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2026, Apr 24, 2024 (2 updates tracked since 2024).

About Pouneh Parks Dnp, Agacnp-bc NPPES

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

POUNEH PARKS DNP, AGACNP-BC (NPI 1174379804) is an individual acute care provider in San Antonio, Texas, licensed in Texas (1141087) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174379804
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NamePOUNEH PARKSCredential: DNP, AGACNP-BC
Location Address4502 MEDICAL DR STE 614San Antonio, TX 78229-4402
Mailing Address903 W Martin St # Ms 49-2San Antonio, TX 78207-0903 · (201) 358-0572 · Fax (210) 358-5940
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 24, 2024
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1174379804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1141087
4502 MEDICAL DR STE 614, San Antonio, TX 78229

Other Names 1

Former Name (1)Pouneh Ranjbar

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

Pouneh Parks Dnp, Agacnp-bc 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 ID5991247512
PECOS Enrollment IDI20240610003749
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 Reassignment

Medicare enrollment records show Pouneh Parks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician 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.

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.

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 Pouneh Parks's NPI number?

The NPI number for Pouneh Parks is 1174379804. It was assigned to this individual provider in the NPPES registry on April 24, 2024. The provider is also known as Pouneh Ranjbar.

Where is Pouneh Parks located?

Pouneh Parks practices at 4502 Medical Dr Ste 614, San Antonio, TX 78229. The listed phone number is (210) 643-7412.

What is Pouneh Parks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Pouneh Parks enrolled in Medicare?

Yes. Pouneh Parks 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 organization bills Medicare for Pouneh Parks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pouneh Parks reassigns Medicare benefits to Community Medicine Associates (San Antonio, TX). The 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 Pouneh Parks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pouneh Parks accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and WellPoint list Pouneh Parks 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 Pouneh Parks affiliated with any hospitals?

According to CMS data, Pouneh Parks is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Pouneh Parks was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.