DR. UMESH K. ARORA M.D.
NPI 1275648529
Internal Medicine - Cardiovascular Disease in San Antonio, TX

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
23.47/100
CMS Quality Rating
1314 E. SONTERRA BLVD., STE. 102, SAN ANTONIO, TX 78258(210) 408-2632 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Umesh K. Arora M.d. NPPES

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

DR. UMESH K. ARORA M.D. (NPI 1275648529) is an individual cardiovascular disease provider in San Antonio, Texas, licensed in Texas (L9077) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1275648529
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. UMESH K. ARORACredential: M.D.
Location Address1314 E. SONTERRA BLVD., STE. 102San Antonio, TX 78258
Mailing Address18114 Ransom HlSan Antonio, TX 78258-4649 · (210) 408-2632
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 20, 2006
Last NPPES UpdateJune 13, 2011
NPI 1275648529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · L9077
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedPhlebologyTaxonomy 202K00000X · License L9077 (TX)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License L9077 (TX)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License L9077 (TX)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License L9077 (TX)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License L9077 (TX)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License L9077 (TX)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License L9077 (TX)
1314 E. SONTERRA BLVD., San Antonio, TX 78258

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Umesh K. Arora 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 ID840273488
PECOS Enrollment IDI20040612000376
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.

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.
1,760 services386 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,013 services376 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
268 services215 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
183 services22 patients
Insertion of tube in left heart chambers for diagnosis with review by radiologist 93452
This procedure involves placing a small tube into the left chambers of your heart. It helps doctors diagnose heart conditions by providing clear images. A radiologist, a doctor specializing in medical imaging, reviews these images for accurate diagnosis.
43 services37 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
24 services21 patients

Hospital Affiliations CMS Care Compare 2

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

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
$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
$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.

23.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost78.25

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers79 claims79 services$30.63 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers139 claims141 services$63.91 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers136 claims374 services$25.36 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers59 claims335 services$15.66 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers44 claims253 services$11.52 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers110 claims110 services$46.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Physical Therapist
1314 E. SONTERRA BLVD., SUITE 601
SAN ANTONIO, TX 78258
Internal Medicine (Cardiovascular Disease)
1314 E. SONTERRA BLVD., STE. 102
SAN ANTONIO, TX 78258
Internal Medicine (Cardiovascular Disease)
1314 E. SONTERRA BLVD., STE. 102
SAN ANTONIO, TX 78258

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 Umesh Arora's NPI number?

The NPI number for Umesh Arora is 1275648529. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Umesh Arora located?

Umesh Arora practices at 1314 E. Sonterra Blvd. Ste. 102, San Antonio, TX 78258. The listed phone number is (210) 408-2632.

What is Umesh Arora's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Umesh Arora enrolled in Medicare?

Yes. Umesh Arora 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.

What insurance does Umesh Arora accept?

Health plans from Blue Cross and Blue Shield of Texas list Umesh Arora 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 Umesh Arora affiliated with any hospitals?

According to CMS data, Umesh Arora is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Umesh Arora was last updated on June 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.