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GERARDO PUGAL ENRIQUEZ MD
NPI 1295746774
Pediatrics in San Antonio, TX

Active since August 10, 2006PECOS Enrolled
3127 SE MILITARY DR STE 101, SAN ANTONIO, TX 78223(210) 922-7000(210) 928-4999 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2020, Jan 6, 2020, Sep 15, 2016 and 1 more (4 updates tracked since 2016).

About Gerardo Pugal Enriquez Md NPPES

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

GERARDO PUGAL ENRIQUEZ MD (NPI 1295746774) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (L8575) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295746774
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGERARDO PUGAL ENRIQUEZCredential: MD
Location Address3127 SE MILITARY DR STE 101San Antonio, TX 78223-3990
Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 922-7000 · Fax (210) 928-4999
Phone(210) 922-7000
Fax(210) 928-4999
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateApril 23, 20204 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
✔ NPI 1295746774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L8575
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3127 SE MILITARY DR STE 101, San Antonio, TX 78223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Gerardo Pugal Enriquez Md 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 Gerardo Enriquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Centro Del Barrio
4.7 mi
Federally Qualified Health Center (FQHC)
3750 COMMERCIAL AVE
San Antonio, TX 78221
  • Reassigned Medicare billing, Texas enrollment
  • 91 clinicians in this Medicare group
NPI 1316126675 (210) 334-3700

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 78223 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.

Other Providers at the Same Location NPPES

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

DR. ELENA BABER M.D.
Pediatrics
3127 SE MILITARY DR STE 101
SAN ANTONIO, TX 78223
Bexar County (210) 922-7000

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 Gerardo Enriquez's NPI number?

The NPI number for Gerardo Enriquez is 1295746774. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Gerardo Enriquez located?

Gerardo Enriquez practices at 3127 SE Military Dr Ste 101, San Antonio, TX 78223. The listed phone number is (210) 922-7000.

What is Gerardo Enriquez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gerardo Enriquez enrolled in Medicare?

Yes. Gerardo Enriquez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gerardo Enriquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerardo Enriquez reassigns Medicare benefits to El Centro Del Barrio (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 Gerardo Enriquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerardo Enriquez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Gerardo Enriquez 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 Gerardo Enriquez was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.