Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TARRA FAULK DO
NPI 1467765370
Internal Medicine - Nephrology in San Antonio, TX

Q: What is Tarra Faulk's NPI number?

The NPI number for Tarra Faulk is 1467765370. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Q: What is Tarra Faulk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Tarra Faulk was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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 July 20, 2010PECOS Enrolled

18707 HARDY OAK BLVD STE 530, SAN ANTONIO, TX 78258(210) 495-8280 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 16, 2026, May 11, 2023, Jul 9, 2019 and 1 more (4 updates tracked since 2018).

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About Dr. Tarra Faulk Do NPPES

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

DR. TARRA FAULK DO (NPI 1467765370) is an individual nephrology provider in San Antonio, Texas, licensed in Georgia (67125) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1467765370

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. TARRA FAULKCredential: DO

Location Address18707 HARDY OAK BLVD STE 530San Antonio, TX 78258-4841

Mailing Address101 Bodin Cir, 60 Mdos Sgomk/nephrologyTravis Afb, CA 94535-1809 · (707) 816-5930 · Fax (707) 816-5665

Phone(210) 495-8280

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2010

Enumeration DateJuly 20, 2010

Last NPPES UpdateSeptember 16, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1467765370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in GA · 67125

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 67125 (GA)

18707 HARDY OAK BLVD STE 530, San Antonio, TX 78258

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tarra Faulk Do 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 ID547576985

PECOS Enrollment IDI20220420000322

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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670055

Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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 8

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

DR. HECTOR JAVIER DIAZ RODRIGUEZ M.D.

Internal Medicine (Nephrology)