ADAM NATHANIEL LETVIN MD
NPI 1245725118
Internal Medicine - Pulmonary Disease in San Antonio, TX

Active since June 24, 2018PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 617-5256(210) 567-6418 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Sep 10, 2024, Aug 21, 2024 and 2 more (5 updates tracked since 2018).

About Adam Nathaniel Letvin Md NPPES

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

ADAM NATHANIEL LETVIN MD (NPI 1245725118) is an individual pulmonary disease provider in San Antonio, Texas, licensed in Texas (V3366) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with University Health System, and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1245725118
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameADAM NATHANIEL LETVINCredential: MD
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (617) 872-1294
Fax(210) 567-6418
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 24, 2018
Last NPPES UpdateAugust 17, 20265 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1245725118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · V3366
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License V3366 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License V3366 (TX)
4502 MEDICAL DR, San Antonio, TX 78229

Secondary Practice Location 1

Location 12401 S 31st St # 9C513CTemple, TX 76508-0001 · Phone (254) 724-7633

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

Adam Nathaniel Letvin Md 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 ID6204185531
PECOS Enrollment IDI20240905004830
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 Adam Letvin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229

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 Adam Letvin's NPI number?

The NPI number for Adam Letvin is 1245725118. It was assigned to this individual provider in the NPPES registry on June 24, 2018.

Where is Adam Letvin located?

Adam Letvin practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 617-5256.

What is Adam Letvin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Adam Letvin enrolled in Medicare?

Yes. Adam Letvin 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 Adam Letvin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Letvin reassigns Medicare benefits to Uthscsa Dental School (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 Adam Letvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Letvin accept?

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

According to CMS data, Adam Letvin is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Adam Letvin was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.