DR. SAPNA PATEL DO
NPI 1508286527
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Antonio, TX

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
64.99/100
CMS Quality Rating
1303 MCCULLOUGH AVE STE 374, SAN ANTONIO, TX 78212(210) 223-5483(210) 223-5492 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2026, Jul 21, 2022, Feb 6, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Sapna Patel Do NPPES

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

DR. SAPNA PATEL DO (NPI 1508286527) is an individual endocrinology, diabetes & metabolism provider in San Antonio, Texas, licensed in Texas (R2701) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2014).

NPPES Registry Identity

NPI1508286527
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SAPNA PATELCredential: DO
Location Address1303 MCCULLOUGH AVE STE 374San Antonio, TX 78212-5615
Mailing Address110 Deer Ridge DrRound Rock, TX 78681-5514 · (512) 458-8400 · Fax (512) 458-8593
Fax(210) 223-5492
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateMay 14, 20265 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1508286527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in TX · R2701
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License R2701 (TX)
1303 MCCULLOUGH AVE STE 374, San Antonio, TX 78212

Secondary Practice Location 1

Location 16500 N Mopac Expy Ste 200Austin, TX 78731-3282 · Phone (512) 458-8400 · Fax (512) 458-8593

Accepted 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. Sapna Patel 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 ID8628304649
PECOS Enrollment IDI20190730001147
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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
718 services344 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
171 services71 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
149 services137 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
31 services31 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
30 services17 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

64.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.54
Promoting Interoperability20
Improvement Activities40
Cost73.45

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers50 claims204 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers25 claims40 services$1.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers227 claims227 services$191.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1303 MCCULLOUGH AVE STE 374
SAN ANTONIO, TX 78212

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 Sapna Patel's NPI number?

The NPI number for Sapna Patel is 1508286527. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Sapna Patel located?

Sapna Patel practices at 1303 Mccullough Ave Ste 374, San Antonio, TX 78212. The listed phone number is (210) 223-5483.

What is Sapna Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sapna Patel enrolled in Medicare?

Yes. Sapna Patel 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 Sapna Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Sapna Patel 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 Sapna Patel was last updated on May 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.