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JONATHAN STOUT MD
NPI 1306250253
Internal Medicine in San Antonio, TX

Active since June 19, 2014PECOS Enrolled
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216(210) 525-1668 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2019, Jul 16, 2019 (2 updates tracked since 2019).

About Jonathan Stout Md NPPES

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

JONATHAN STOUT MD (NPI 1306250253) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (S0230) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306250253
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN STOUTCredential: MD
Location Address12446 WEST AVE STE 200San Antonio, TX 78216-2530
Mailing Address700 E Marshall AveLongview, TX 75601-5580 · (903) 315-2000
Phone(210) 525-1668
Sole ProprietorNo
Enumeration DateJune 19, 2014
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
✔ NPI 1306250253 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 · S0230
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.
12446 WEST AVE STE 200, San Antonio, TX 78216
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Complete Care Medical Associates
Same address
Hospitalist
12446 WEST AVE STE 200
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 61 clinicians in this Medicare group
NPI 1609350024 (210) 525-1668

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 78216 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 20

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

JEFFREY WOODS
Internal Medicine (Pulmonary Disease)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Bexar County (210) 525-1668
HOSPITAL CORE SERVICES PLLC
Hospitalist
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Bexar County (210) 525-1668
GEOFF R WEIKLE DO PLLC
Internal Medicine
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Bexar County (210) 525-1668
PENELOPE LABOY AGACNP
Nurse Practitioner (Acute Care)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Bexar County (210) 729-2262
KIMBERLY GARCIA FNP-C
Nurse Practitioner (Family)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Bexar County (817) 266-2358
NORTHEAST PULMONARY & SLEEP ASSOCIATES CENTER LLC
Internal Medicine (Pulmonary Disease)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Bexar County (210) 525-1668
SA PERINATAL PLLC
Pediatrics (Neonatal-Perinatal Medicine)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Bexar County (210) 525-1668
XIANG LI
Internal Medicine
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Bexar County (210) 525-1668

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 Jonathan Stout's NPI number?

The NPI number for Jonathan Stout is 1306250253. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Jonathan Stout located?

Jonathan Stout practices at 12446 West Ave Ste 200, San Antonio, TX 78216. The listed phone number is (210) 525-1668.

What is Jonathan Stout's specialty?

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

Is Jonathan Stout enrolled in Medicare?

Yes. Jonathan Stout is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Stout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Stout reassigns Medicare benefits to Complete Care Medical Associates (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 Jonathan Stout'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 Jonathan Stout was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.