DEZAVALA FAMILY PRACTICE
NPI 1487971867
Family Medicine in San Antonio, TX
About Dezavala Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEZAVALA FAMILY PRACTICE (NPI 1487971867) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Sara Jane Apsley Ambriz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dezavala Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dezavala Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2008626
Apsley Medical Group PA · San Antonio, TXFrequently 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 Apsley Medical Group, P.A.'s NPI number?
The NPI number for Apsley Medical Group, P.A. is 1487971867. It was assigned to this organization in the NPPES registry on April 26, 2010. The provider is doing business as Dezavala Family Practice.
Where is Apsley Medical Group, P.A. located?
Apsley Medical Group, P.A. is located at 4435 Dezavala, San Antonio, TX 78249. The listed phone number is (210) 694-4081.
What is Apsley Medical Group, P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Apsley Medical Group, P.A. enrolled in Medicare?
Yes. Apsley Medical Group, P.A. is registered in the Medicare PECOS enrollment system.
When is Apsley Medical Group, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Apsley Medical Group, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Apsley Medical Group, P.A., in Family Practice and General Practice. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Apsley Medical Group, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2008626) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Apsley Medical Group, P.A. was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dezavala Family Practice · NPI 1487971867
Family Medicine organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since April 26, 2010.
## Identity
- **NPI:** 1487971867 (Entity type: Organization)
- **Enumerated:** April 26, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Apsley Medical Group, P.a.
- **Organization subpart:** No
- **Authorized official:** Sara Apsley Ambriz, OWNER
## Practice location
- **Address:** 4435 DEZAVALA, San Antonio, TX 78249-2040
- **Phone:** (210) 694-4081 · **Fax:** (210) 696-8053
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), General Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2011
- **Other identifiers:** Medicaid 2158131-01 (TX); Medicare PIN TXB105715 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487971867) · Data from the CMS NPPES public registry.