SOPHIA ZABADAYEV
NPI 1205332749
Emergency Medicine in San Antonio, TX

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
11212 TX-151, SAN ANTONIO, TX 78251(210) 703-8000 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2022, Nov 4, 2022, Aug 12, 2021 and 1 more (4 updates tracked since 2020).

About Sophia Zabadayev NPPES

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

SOPHIA ZABADAYEV (NPI 1205332749) is an individual emergency medicine provider in San Antonio, Texas, licensed in Texas (S8683) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205332749
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSOPHIA ZABADAYEV
Location Address11212 TX-151San Antonio, TX 78251
Mailing Address9818 Selbourne LnSan Antonio, TX 78251-4738 · (909) 938-5438
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateNovember 7, 20224 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
NPI 1205332749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TX · S8683 Licensed in CA · A174054
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

11212 TX-151, San Antonio, TX 78251

Secondary Practice Locations 2

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 938-5438
Location 27703 Floyd Curl DrSan Antonio, TX 78229-3901 · Phone (210) 567-7000

Accepted 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

Sophia Zabadayev 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 ID7315350592
PECOS Enrollment IDI20210107000781
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services53 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services43 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
20 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670078
Location16088 San PedroSan Antonio, TX 78232 · Bexar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Other Providers at the Same Location NPPES 14

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

Family Medicine
11212 TX-151
SAN ANTONIO, TX 78251
Nurse Anesthetist, Certified Registered
11212 TX-151
SAN ANTONIO, TX 78251
Respiratory Therapist, Registered (General Care)
11212 TX-151
SAN ANTONIO, TX 78251
Student in an Organized Health Care Education/Training Program
11212 TX-151
SAN ANTONIO, TX 78251
Internal Medicine
11212 TX-151
SAN ANTONIO, TX 78251
Specialist/Technologist, Other (Surgical Assistant)
11212 TX-151
SAN ANTONIO, TX 78251
Student in an Organized Health Care Education/Training Program
11212 TX-151
SAN ANTONIO, TX 78251
Emergency Medicine
11212 TX-151
SAN ANTONIO, TX 78251

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 Sophia Zabadayev's NPI number?

The NPI number for Sophia Zabadayev is 1205332749. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Sophia Zabadayev located?

Sophia Zabadayev practices at 11212 Tx-151, San Antonio, TX 78251. The listed phone number is (210) 703-8000.

What is Sophia Zabadayev's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sophia Zabadayev enrolled in Medicare?

Yes. Sophia Zabadayev 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 Sophia Zabadayev accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Sophia Zabadayev 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 Sophia Zabadayev affiliated with any hospitals?

According to CMS data, Sophia Zabadayev is affiliated with Methodist Hospital and Baptist Neighborhood Hospital Thousand Oaks.

When was this NPI record last updated?

The NPPES record for Sophia Zabadayev was last updated on November 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.