DR. ABHISHEK ROKA M.D.
NPI 1316395403
Emergency Medicine in San Antonio, TX

Q: What is Abhishek Roka's NPI number?

The NPI number for Abhishek Roka is 1316395403. It was assigned to this individual provider in the NPPES registry on May 30, 2016.

Q: What is Abhishek Roka's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Abhishek Roka was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 30, 2016PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Abhishek Roka M.d. NPPES

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

DR. ABHISHEK ROKA M.D. (NPI 1316395403) is an individual emergency medicine provider in San Antonio, Texas, licensed in Texas (S1905) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1316395403

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ABHISHEK ROKACredential: M.D.

Location Address4502 MEDICAL DRSan Antonio, TX 78229

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000

Phone(210) 358-4000

Sole ProprietorYes

Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2016

Enumeration DateMay 30, 2016

Last NPPES UpdateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1316395403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TX · S1905✔ Licensed in FL · ME151769

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4502 MEDICAL DR, San Antonio, TX 78229

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Secondary Practice Location 1

Location 16850 Lake Nona BlvdOrlando, FL 32827-7408 · Phone (407) 266-1106 · Fax (407) 266-1199

Other Identifiers 1

Medicaid398524401TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Abhishek Roka 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 ID4789917790

PECOS Enrollment IDI20210922002492

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 Reassignments

Medicare enrollment records show Abhishek Roka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School

0.2 mi

Oral and Maxillofacial Surgery

7703 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: University Of Texas Health Science Center At San Antonio
2,397 clinicians in this Medicare group

NPI 1750403887 (210) 567-3274

Emergency Medicine Services Of Tx, PLLC

0.4 mi

Emergency Medicine

7700 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
1,452 clinicians in this Medicare group

NPI 1245938729 (210) 575-4000

Concord Medical Group PLLC

341 mi

Emergency Medicine

1602 AVENUE Q
Lubbock, TX 79401

Reassigned Medicare billing, Texas enrollment
1,338 clinicians in this Medicare group

NPI 1083630610 (888) 264-0330

Emergency Medicine Services Of Fl, LLC

1,154 mi

Emergency Medicine

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
1,912 clinicians in this Medicare group

NPI 1043917180 (305) 682-7000

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

Areas of Expertise CMS Part B claims 6

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

224 services217 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

58 services57 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

51 services47 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

18 services18 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

12 services12 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100131

Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County

Emergency services

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100246

Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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 20

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

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)