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MR. ISHAM WALKER PAULI JR. MD
NPI 1477639664
Pediatrics in San Antonio, TX

Active since October 31, 2006PECOS Enrolled
18707 HARDY OAK BLVD, STE 225, SAN ANTONIO, TX 78258(210) 657-0220(210) 402-2868 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Isham Walker Pauli Jr. Md NPPES

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

MR. ISHAM WALKER PAULI JR. MD (NPI 1477639664) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (K3386) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477639664
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. ISHAM WALKER PAULI JR.Credential: MD
Location Address18707 HARDY OAK BLVD, STE 225San Antonio, TX 78258-4869
Mailing Address8606 Village Drive, Suite ASan Antonio, TX 78217 · (210) 657-0220 · Fax (210) 590-7288
Phone(210) 657-0220
Fax(210) 402-2868
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 11, 2017
✔ NPI 1477639664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · K3386
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
18707 HARDY OAK BLVD, San Antonio, TX 78258
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Other Identifiers 3

Medicare UPING47825
Medicaid046787001TX
Medicare ID-Type Unspecified888529TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Isham Walker Pauli Jr. 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 Isham Pauli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Synergy Healthcare Associates, PLLC
3.0 mi
Gynecology
14100 SAN PEDRO AVE STE 200
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 67 clinicians in this Medicare group
NPI 1356584544 (210) 653-5501

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 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
$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 12

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

DR. VIJAY K GUNUGANTI M.D.
Internal Medicine (Medical Oncology)
18707 HARDY OAK BLVD, SUITE 320
SAN ANTONIO, TX 78258
Bexar County (210) 545-6972
DR. BERNARD JOSEPH KOPCHINSKI MD, FACS
Plastic Surgery
18707 HARDY OAK BLVD, SUITE 455
SAN ANTONIO, TX 78258
Bexar County (210) 255-1764
ELISSA LIN
Internal Medicine (Gastroenterology)
18707 HARDY OAK BLVD
SAN ANTONIO, TX 78258
Bexar County (210) 614-1234
DR. NATHAN SHUMWAY D.O., FACP
Internal Medicine (Hematology & Oncology)
18707 HARDY OAK BLVD, SUITE 320
SAN ANTONIO, TX 78258
Bexar County (210) 545-6972
WORLD PEDIATRIC DENTAL
Dentist (Pediatric Dentistry)
18707 HARDY OAK BLVD, SUITE 305
SAN ANTONIO, TX 78258
Bexar County (210) 888-0700
MRS. KAREN A. ADAMS PA-C
Physician Assistant (Surgical)
18707 HARDY OAK BLVD, SUITE 101
SAN ANTONIO, TX 78258
Bexar County (210) 370-9995
AQUILINA K THOMPSON FNP
Nurse Practitioner (Family)
18707 HARDY OAK BLVD, SUITE 2322
SAN ANTONIO, TX 78258
Bexar County (210) 545-6972
DR. AMANDA CHRISTINE CARPENTER DO
Pediatrics
18707 HARDY OAK BLVD, SUITE 225
SAN ANTONIO, TX 78258
Bexar County (210) 657-0220

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 Isham Pauli's NPI number?

The NPI number for Isham Pauli is 1477639664. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Isham Pauli located?

Isham Pauli practices at 18707 Hardy Oak Blvd Ste 225, San Antonio, TX 78258. The listed phone number is (210) 657-0220.

What is Isham Pauli's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Isham Pauli enrolled in Medicare?

Yes. Isham Pauli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Isham Pauli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isham Pauli reassigns Medicare benefits to Synergy Healthcare Associates, PLLC (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 Isham Pauli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Isham Pauli accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Isham Pauli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Isham Pauli was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.