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DR. CARLOS A CARDENAS M.D.
NPI 1487643664
Obstetrics & Gynecology - Gynecology in San Antonio, TX

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
1303 MCCULLOUGH AVE STE 533, SAN ANTONIO, TX 78212(210) 465-5455(210) 600-4033 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 13, 2022, Aug 24, 2021, May 20, 2016 (3 updates tracked since 2016).

About Dr. Carlos A Cardenas M.d. NPPES

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

DR. CARLOS A CARDENAS M.D. (NPI 1487643664) is an individual gynecology provider in San Antonio, Texas, licensed in Texas (E9560) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1487643664
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. CARLOS A CARDENASCredential: M.D.
Location Address1303 MCCULLOUGH AVE STE 533San Antonio, TX 78212-5609
Mailing Address609 Grandview PlSan Antonio, TX 78209-5417 · (210) 413-8890
Phone(210) 465-5455
Fax(210) 600-4033
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateOctober 19, 2005
Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1487643664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in TX · E9560
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1303 MCCULLOUGH AVE STE 533, San Antonio, TX 78212
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Other Identifiers 1

Medicaid122776105TX

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. Carlos A Cardenas 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 ID1557302791
PECOS Enrollment IDI20090721000751
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 4

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 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.
111 services50 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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

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

DR CARLOS CARDENAS PLLC
Obstetrics & Gynecology (Gynecology)
1303 MCCULLOUGH AVE STE 533
SAN ANTONIO, TX 78212
Bexar County (210) 465-5545

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 Carlos Cardenas's NPI number?

The NPI number for Carlos Cardenas is 1487643664. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Carlos Cardenas located?

Carlos Cardenas practices at 1303 Mccullough Ave Ste 533, San Antonio, TX 78212. The listed phone number is (210) 465-5455.

What is Carlos Cardenas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Carlos Cardenas enrolled in Medicare?

Yes. Carlos Cardenas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carlos Cardenas accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Carlos Cardenas 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 Carlos Cardenas was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.