DR. RICHARD KIRK ENGLEHARDT M.D.
NPI 1225251002
Surgery in San Antonio, TX

Q: What is Richard Englehardt's NPI number?

The NPI number for Richard Englehardt is 1225251002. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Richard Englehardt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 10, 2007PECOS Enrolled

75/100

CMS Quality Rating

335 E SONTERRA BLVD STE 200, SAN ANTONIO, TX 78258(210) 615-8500(210) 615-8501 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Richard Kirk Englehardt M.d. NPPES

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

DR. RICHARD KIRK ENGLEHARDT M.D. (NPI 1225251002) is an individual surgery provider in San Antonio, Texas, licensed in Michigan (4301088233) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2006).

NPPES Registry Identity

NPI1225251002

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. RICHARD KIRK ENGLEHARDTCredential: M.D.

Location Address335 E SONTERRA BLVD STE 200San Antonio, TX 78258-4385

Mailing Address335 E Sonterra Blvd Ste 200San Antonio, TX 78258-4385 · (210) 615-8500 · Fax (210) 615-8501

Phone(210) 615-8500

Fax(210) 615-8501

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2006

Enumeration DateApril 10, 2007

Last NPPES UpdateFebruary 7, 2025

NPPES CertifiedFebruary 7, 2025

✔ NPI 1225251002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301088233

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

335 E SONTERRA BLVD STE 200, San Antonio, TX 78258

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Kirk Englehardt M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810152162

PECOS Enrollment IDI20120711000527

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 Richard Englehardt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bariatric Medical Institute Of Texas, PLLC

Same address

Surgery

335 E SONTERRA BLVD STE 200
San Antonio, TX 78258

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1912151432 (210) 615-8500

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

Areas of Expertise CMS Part B claims 8

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.

196 services107 patients

Double contrast x-ray of upper digestive tract 74246

A double contrast x-ray of the upper digestive tract is a diagnostic procedure. It involves drinking a substance to coat your stomach and esophagus, and then a gas-forming agent. X-rays are taken, providing detailed images to help identify any abnormalities in your upper digestive system.

37 services31 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

23 services23 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

23 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services18 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Foundation Surgical Hospital Of San Antonio

Acute Care Hospitals · San Antonio, TX

OwnershipProprietary

CMS Certification Number670054

Location9522 Huebner RoadSan Antonio, TX 78240 · Bexar County

Emergency services

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670055

Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 5

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

AMBER MICHELLE WILLBORN MSN, APRN, FNP-C

Nurse Practitioner (Family)