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DR. TSETAN DOLKAR M.D.
NPI 1487918603
Pathology - Anatomic Pathology & Clinical Pathology in San Antonio, TX

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment
9600 DATAPOINT DR, SAN ANTONIO, TX 78229(210) 892-3700 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Tsetan Dolkar M.d. NPPES

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

DR. TSETAN DOLKAR M.D. (NPI 1487918603) is an individual anatomic pathology & clinical pathology provider in San Antonio, Texas, licensed in Texas (S3153) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487918603
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. TSETAN DOLKARCredential: M.D.
Location Address9600 DATAPOINT DRSan Antonio, TX 78229-2028
Mailing Address9600 Datapoint DrSan Antonio, TX 78229-2028 · (210) 892-3700
Phone(210) 892-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 3, 2012
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1487918603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · S3153
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
9600 DATAPOINT DR, San Antonio, TX 78229
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tsetan Dolkar 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 ID7214468008
PECOS Enrollment IDI20241003002874
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 Tsetan Dolkar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathology Associates Of San Antonio, L.L.P.
0.1 mi
Anatomic Pathology & Clinical Pathology
9720 DATAPOINT DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1407844848 (210) 892-3700

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

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
23 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie 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
$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 20

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

DR. THOMAS F KARDOS MD
Pathology (Cytopathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
DR. VIRGANEYCE KATRICE LYONS-BOUDREAUX MD
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
CONSTANTINE THEOHARIS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
DR. ROBERT LEE HUTTON SR. MD
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
DR. SHARI ADDINGTON MD
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
DR. BRIAN D TOWELL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3750
DR. TERRANCE A MCBURNEY MD
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3715
DR. MARGARET S WEHNER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3753

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 Tsetan Dolkar's NPI number?

The NPI number for Tsetan Dolkar is 1487918603. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Tsetan Dolkar located?

Tsetan Dolkar practices at 9600 Datapoint Dr, San Antonio, TX 78229. The listed phone number is (210) 892-3700.

What is Tsetan Dolkar's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Tsetan Dolkar enrolled in Medicare?

Yes. Tsetan Dolkar 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.

Which organization bills Medicare for Tsetan Dolkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tsetan Dolkar reassigns Medicare benefits to Pathology Associates Of San Antonio, L.L.P. (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 Tsetan Dolkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tsetan Dolkar 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 1 other insurer list Tsetan Dolkar 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.

Is Tsetan Dolkar affiliated with any hospitals?

According to CMS data, Tsetan Dolkar is affiliated with Peterson Regional Medical Center, Christus Santa Rosa Medical Center and Hill Country Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tsetan Dolkar was last updated on April 18, 2023. 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.