DR. EDGAR SAMUEL MEDINA M.D.
NPI 1598045981
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Q: What is Edgar Medina's NPI number?

The NPI number for Edgar Medina is 1598045981. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Q: What is Edgar Medina's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Medina was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 17, 2011PECOS EnrolledAccepts Medicare Assignment

401 E SONTERRA BLVD STE 375, SAN ANTONIO, TX 78258(210) 908-6337(855) 999-3755 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2019, Feb 8, 2017, Jun 16, 2016 (3 updates tracked since 2016).

On this page

About Dr. Edgar Samuel Medina M.d. NPPES

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

DR. EDGAR SAMUEL MEDINA M.D. (NPI 1598045981) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (Q4634) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1598045981

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. EDGAR SAMUEL MEDINACredential: M.D.

Location Address401 E SONTERRA BLVD STE 375San Antonio, TX 78258-4321

Mailing Address19141 Stone Oak Pkwy Suite 104, Pmb 217San Antonio, TX 78258-3367 · (210) 908-6337 · Fax (855) 999-3755

Phone(210) 908-6337

Fax(855) 999-3755

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 17, 2011

Last NPPES UpdateJanuary 31, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2024

✔ NPI 1598045981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in TX · Q4634✔ Licensed in CA · A117829

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

401 E SONTERRA BLVD STE 375, San Antonio, TX 78258

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Other Identifiers 1

Medicaid3577181-01TX

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. Edgar Samuel Medina 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 ID9234429465

PECOS Enrollment IDI20160601000140

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.

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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

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 14

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

ASCENDING HANDS HOME CARE

In Home Supportive Care