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PEYMANEH EBADEHAHWAZI
NPI 1255875407
Nurse Practitioner in San Antonio, TX

Active since December 07, 2016PECOS Enrolled
4502 CYPRESS WOODS ST, SAN ANTONIO, TX 78249(210) 909-4150 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peymaneh Ebadehahwazi NPPES

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

PEYMANEH EBADEHAHWAZI (NPI 1255875407) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP132286) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1255875407
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePEYMANEH EBADEHAHWAZI
Location Address4502 CYPRESS WOODS STSan Antonio, TX 78249-1806
Mailing Address4502 Cypress Woods StSan Antonio, TX 78249-1806 · (210) 909-4150
Phone(210) 909-4150
Sole ProprietorNo
Enumeration DateDecember 7, 2016
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1255875407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP132286
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4502 CYPRESS WOODS ST, San Antonio, TX 78249
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Secondary Practice Location 1

Location 15294 Belt Line Rd Ste 200Dallas, TX 75254-7571 · Phone (214) 785-2200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peymaneh Ebadehahwazi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Catapult Health PA
255 mi
Clinic/Center
5294 BELT LINE RD STE 200
Dallas, TX 75254
  • Reassigned Medicare billing, Texas enrollment
  • 72 clinicians in this Medicare group
NPI 1154963841 (214) 313-9698

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78249 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.

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 Peymaneh Ebadehahwazi's NPI number?

The NPI number for Peymaneh Ebadehahwazi is 1255875407. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Peymaneh Ebadehahwazi located?

Peymaneh Ebadehahwazi practices at 4502 Cypress Woods St, San Antonio, TX 78249. The listed phone number is (210) 909-4150.

What is Peymaneh Ebadehahwazi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Peymaneh Ebadehahwazi enrolled in Medicare?

Yes. Peymaneh Ebadehahwazi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peymaneh Ebadehahwazi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peymaneh Ebadehahwazi reassigns Medicare benefits to Catapult Health PA (Dallas, 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 Peymaneh Ebadehahwazi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peymaneh Ebadehahwazi was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.