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KELLEY L GRIFFIN D.O.
NPI 1609138833
Pediatrics in San Antonio, TX

Active since June 13, 2012PECOS Enrolled
1055 ADA ST, SAN ANTONIO, TX 78223(210) 358-5515(210) 358-5530 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2021, Jul 20, 2020, Aug 30, 2018 (3 updates tracked since 2018).

About Kelley L Griffin D.o. NPPES

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

KELLEY L GRIFFIN D.O. (NPI 1609138833) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (Q5360) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609138833
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLEY L GRIFFINCredential: D.O.
Location Address1055 ADA STSan Antonio, TX 78223-1703
Mailing AddressPo Box 734812Dallas, TX 75373-4812 · (210) 358-9500 · Fax (210) 358-9183
Phone(210) 358-5515
Fax(210) 358-5530
Sole ProprietorNo
Enumeration DateJune 13, 2012
Last NPPES UpdateJanuary 29, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1609138833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · Q5360
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2012018674 (MO)
1055 ADA ST, San Antonio, TX 78223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley L Griffin D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelley Griffin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medicine Associates
4.4 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78223 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

RAY PETER MANGULABNAN MD
Internal Medicine
1055 ADA ST
SAN ANTONIO, TX 78223
Bexar County (210) 358-5515
BRETT STEELMAN
Physician Assistant
1055 ADA ST
SAN ANTONIO, TX 78223
Bexar County (210) 358-5515
DR. SHARIF EUSUFZAI M.D., PHD
Internal Medicine (Geriatric Medicine)
1055 ADA ST, SOUTH BEXAR VA OUT PATIENT CLINIC
SAN ANTONIO, TX 78223
Bexar County (210) 358-5682
DR. TERESA M. RUIZ M.D.
Pediatrics
1055 ADA ST
SAN ANTONIO, TX 78223
Bexar County (210) 358-5515
MRS. JUSTINE LEE HUDSON PA-C
Physician Assistant
1055 ADA ST
SAN ANTONIO, TX 78223
Bexar County (210) 358-5515
CHRISTINA AILEEN KRUSE PHARMD
Pharmacist
1055 ADA ST
SAN ANTONIO, TX 78223
Bexar County (210) 358-5534
BRIDGET SEDANO HAGGERTY
Nurse Practitioner (Family)
1055 ADA ST
SAN ANTONIO, TX 78223
Bexar County (210) 358-5515
BEXAR COUNTY HOSPITAL DISTRICT
Pharmacy (Community/Retail Pharmacy)
1055 ADA ST
SAN ANTONIO, TX 78223
Bexar County (210) 358-5534

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 Kelley Griffin's NPI number?

The NPI number for Kelley Griffin is 1609138833. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Kelley Griffin located?

Kelley Griffin practices at 1055 Ada St, San Antonio, TX 78223. The listed phone number is (210) 358-5515.

What is Kelley Griffin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelley Griffin enrolled in Medicare?

Yes. Kelley Griffin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelley Griffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Griffin reassigns Medicare benefits to Community Medicine Associates (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 Kelley Griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Griffin accept?

Health plans from Oscar Insurance Company list Kelley Griffin 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 Kelley Griffin was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.