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ADRIAN PADILLA M.D.
NPI 1255618328
Internal Medicine in New Braunfels, TX

Active since November 03, 2011PECOS EnrolledAccepts Medicare Assignment
2468 FM 1101, NEW BRAUNFELS, TX 78130(210) 259-6338 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2026, Nov 11, 2023, Oct 24, 2021 and 1 more (4 updates tracked since 2020).

About Adrian Padilla M.d. NPPES

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

ADRIAN PADILLA M.D. (NPI 1255618328) is an individual internal medicine provider in New Braunfels, Texas, licensed in Texas (R0470) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255618328
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADRIAN PADILLACredential: M.D.
Location Address2468 FM 1101New Braunfels, TX 78130-2636
Mailing Address2318 San Pedro Ave Ste 12San Antonio, TX 78212-1901 · (210) 259-6338
Phone(210) 259-6338
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 3, 2011
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1255618328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R0470
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2468 FM 1101, New Braunfels, TX 78130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare 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 and accepts Medicare assignment

Adrian Padilla 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 ID3173782257
PECOS Enrollment IDI20170117002076
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 Reassignments

7

Medicare enrollment records show Adrian Padilla reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cs Pacs 3 Southwest, LLC
183 mi
Hospitalist
5800 W BAKER RD
Baytown, TX 77520
  • Reassigned Medicare billing, Texas enrollment
  • 131 clinicians in this Medicare group
NPI 1275398430 (281) 425-1200
Ipc Pac Healthcare Services Of Texas PLLC
233 mi
Hospitalist
14131 MIDWAY RD, SUITE 620
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • 142 clinicians in this Medicare group
NPI 1194174201 (972) 249-0200
Vohra Post Acute Care Physicians Of Texas, PLLC
237 mi
Family Medicine
17218 PRESTON RD STE 2000
Dallas, TX 75252
  • Reassigned Medicare billing, Texas enrollment
  • 107 clinicians in this Medicare group
NPI 1821424789 (877) 866-7123
Panhandle Health Service
896 mi
Psychiatry
2 W 42ND ST, SUITE 3200
Scottsbluff, NE 69361
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Regional West Physicians Clinic
  • 208 clinicians in this Medicare group
NPI 1790866762 (308) 630-1115
Nv Pacs 2 LLC
1,095 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000
Garden State Healthcare Associates, LLC
1,544 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
New Jersey Medical And Health Associates,llc
1,550 mi
Internal Medicine
308 WILLOW AVE
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 124 clinicians in this Medicare group
NPI 1558673582 (844) 427-4362

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
105 services28 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
96 services17 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
37 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 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 4

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

LEGEND OAKS - NEW BRAUNFELS, LLC
Skilled Nursing Facility
2468 FM 1101
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 481-0091
GUADALUPE COUNTY HOSPITAL BOARD
Skilled Nursing Facility
2468 FM 1101
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 420-6500
PUJA PRAFUL PATEL PT, DPT
Physical Therapist
2468 FM 1101
NEW BRAUNFELS, TX 78130
Guadalupe County (470) 860-7985
ASHLEIGH HERNANDEZ CCC-SLP
Speech-Language Pathologist
2468 FM 1101
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 420-6500

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 Adrian Padilla's NPI number?

The NPI number for Adrian Padilla is 1255618328. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Adrian Padilla located?

Adrian Padilla practices at 2468 Fm 1101, New Braunfels, TX 78130. The listed phone number is (210) 259-6338.

What is Adrian Padilla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adrian Padilla enrolled in Medicare?

Yes. Adrian Padilla 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 organizations bill Medicare for Adrian Padilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrian Padilla reassigns Medicare benefits to 7 organizations: Cs Pacs 3 Southwest, LLC (Baytown, TX), Ipc Pac Healthcare Services Of Texas PLLC (Addison, TX), Vohra Post Acute Care Physicians Of Texas, PLLC (Dallas, TX), Panhandle Health Service (Scottsbluff, NE), Nv Pacs 2 LLC (Las Vegas, NV) and 2 more organizations, listed in the Medicare section above. Each 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 Adrian Padilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrian Padilla accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Health list Adrian Padilla 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 Adrian Padilla was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.