DR. ALBELYH SERGIA PUGOY DEL ROSARIO
NPI 1457796245
Family Medicine in San Antonio, TX

Q: What is Albelyh Del Rosario's NPI number?

The NPI number for Albelyh Del Rosario is 1457796245. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Q: What is Albelyh Del Rosario's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment

89.92/100

CMS Quality Rating

903 W MARTIN ST, SAN ANTONIO, TX 78207(210) 358-3441(210) 358-5944 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Nov 1, 2016 (2 updates tracked since 2016).

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About Dr. Albelyh Sergia Pugoy Del Rosario NPPES

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

DR. ALBELYH SERGIA PUGOY DEL ROSARIO (NPI 1457796245) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (Q8869) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with University Health System, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457796245

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALBELYH SERGIA PUGOY DEL ROSARIO

Location Address903 W MARTIN STSan Antonio, TX 78207-0903

Mailing Address903 W Martin St # Ms 49-2San Antonio, TX 78207-0903 · (210) 358-5437 · Fax (210) 358-5890

Phone(210) 358-3441

Fax(210) 358-5944

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 7, 2013

Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1457796245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · Q8869

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

903 W MARTIN ST, San Antonio, TX 78207

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Secondary Practice Locations 3

Location 13860 E Interstate Highway 10San Antonio, TX 78220-4063 · Phone (210) 644-5060 · Fax (210) 702-6926

Location 23611 Jaguar PkwySan Antonio, TX 78224-3271 · Phone (726) 236-9560 · Fax (210) 702-6896

Location 34647 Medical DrSan Antonio, TX 78229-4403 · Phone (210) 358-5437 · Fax (210) 358-5890

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.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. Albelyh Sergia Pugoy Del Rosario 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 ID7315227170

PECOS Enrollment IDI20161213002126

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 3

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.

59 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services46 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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.

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.

89.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.39

Promoting Interoperability

100

Improvement Activities

Cost

62.89

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.

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