CRISTO REY CLINIC, PA
NPI 1316067903
Internal Medicine in San Antonio, TX

Active since March 29, 2007
1207 BROOKLYN AVE, SAN ANTONIO, TX 78212(210) 229-9100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cristo Rey Clinic, Pa NPPES

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

CRISTO REY CLINIC, PA (NPI 1316067903) is a healthcare organization registered as an internal medicine in San Antonio, Texas and active in the NPI registry since March 2007. The organization lists Joel Pena, President, as its authorized official.

NPPES Registry Identity

NPI1316067903
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCRISTO REY CLINIC, PA
Location Address1207 BROOKLYN AVESan Antonio, TX 78212-4804
Mailing Address1207 Brooklyn AveSan Antonio, TX 78212-4804 · (210) 229-9100
Organization SubpartNo
Authorized OfficialJoel PenaPresident · (210) 229-9100
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316067903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
1207 BROOKLYN AVE, San Antonio, TX 78212

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cristo Rey Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20080221000171Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cristo Rey Clinic, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1588653455
1207 BROOKLYN AVE
San Antonio, TX 78212
(210) 229-9100
✔ PECOS✔ Accepts MedicareSame address

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

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 Cristo Rey Clinic, PA's NPI number?

The NPI number for Cristo Rey Clinic, PA is 1316067903. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Cristo Rey Clinic, PA located?

Cristo Rey Clinic, PA is located at 1207 Brooklyn Ave, San Antonio, TX 78212. The listed phone number is (210) 229-9100.

What is Cristo Rey Clinic, PA's specialty?

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

Is Cristo Rey Clinic, PA enrolled in Medicare?

Yes. Cristo Rey Clinic, PA is registered in the Medicare PECOS enrollment system.

When is Cristo Rey Clinic, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cristo Rey Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Cristo Rey Clinic, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cristo Rey Clinic, PA was last updated on August 22, 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.