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DR. DIEGO RAFAEL IRAVEDRA-GARCIA MD
NPI 1255856472
Radiology - Neuroradiology in San Antonio, TX

Active since August 09, 2017PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Jun 2, 2025, Jun 30, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Diego Rafael Iravedra-garcia Md NPPES

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

DR. DIEGO RAFAEL IRAVEDRA-GARCIA MD (NPI 1255856472) is an individual neuroradiology provider in San Antonio, Texas, licensed in Texas (T2890) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Durham, and is a graduate of University Of Puerto Rico School Of Medicine (2017).

NPPES Registry Identity

NPI1255856472
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameDR. DIEGO RAFAEL IRAVEDRA-GARCIACredential: MD
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address2610 Erwin RdDurham, NC 27705-3853
Phone(210) 358-4000
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2017
Enumeration DateAugust 9, 2017
Last NPPES UpdateJuly 15, 20265 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1255856472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License✔ Licensed in TX · T2890
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 2025-00788 (NC)
4502 MEDICAL DR, San Antonio, TX 78229
Open in Google Maps ↗

Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First.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

Dr. Diego Rafael Iravedra-garcia 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 ID8820562846
PECOS Enrollment IDI20260710001434
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 Diego Iravedra-garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uthscsa Dental School
0.2 mi
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
NPI 1750403887 (210) 567-3274

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

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.

EDUARDO N. POLLONO MD
Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
DR. MAHDIEH IRAN NEJAD PARIZI M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
RICHARD LEE BALLENTINE D.M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
MR. STEVAN REYES PTA
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4253
MRS. CLAIRE LELEUX BEADLE CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
NNENNA AWAGU CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4500
DR. CYNTHIA N NGUYEN PHARMD
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 743-4034
DR. JONATHAN EDWARD SLOVIK MD
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000

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 Diego Iravedra-garcia's NPI number?

The NPI number for Diego Iravedra-garcia is 1255856472. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Where is Diego Iravedra-garcia located?

Diego Iravedra-garcia practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.

What is Diego Iravedra-garcia's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Diego Iravedra-garcia enrolled in Medicare?

Yes. Diego Iravedra-garcia 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 Diego Iravedra-garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diego Iravedra-garcia 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 Diego Iravedra-garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diego Iravedra-garcia accept?

Health plans from Blue Cross and Blue Shield of Texas and Community First list Diego Iravedra-garcia 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 Diego Iravedra-garcia was last updated on July 15, 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.