1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Pediatrics
  6. NPI Profile

SHANICE LATHAM
NPI 1629698816
Pediatrics in San Antonio, TX

Active since April 17, 2020PECOS Enrolled
10002 WESTOVER BLF, SAN ANTONIO, TX 78251(210) 233-7000 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Apr 17, 2020 (2 updates tracked since 2020).

About Shanice Latham NPPES

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

SHANICE LATHAM (NPI 1629698816) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (V5795) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629698816
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANICE LATHAM
Location Address10002 WESTOVER BLFSan Antonio, TX 78251-3353
Mailing Address10002 Westover BlfSan Antonio, TX 78251-3353 · (210) 233-7000
Phone(210) 233-7000
Sole ProprietorNo
Enumeration DateApril 17, 2020
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1629698816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · V5795
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.
10002 WESTOVER BLF, San Antonio, TX 78251
Open in Google Maps ↗

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 (PECOS)

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

Barrio Comprehensive Family Health Care Center,inc.
8.7 mi
Federally Qualified Health Center (FQHC)
4751 HAMILTON WOLFE RD STE 200
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 268 clinicians in this Medicare group
NPI 1851843619 (210) 233-7000

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 78251 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 6

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

GREGORY LANGAS M.D.
Pediatrics
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Bexar County (210) 233-7000
DR. YADIRA A. ANCA MD
Obstetrics & Gynecology
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Bexar County (210) 233-7000
DR. RAQUEL MCNEIL DO
Pediatrics
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Bexar County (210) 233-7000
BRENDA PAGAN PNP
Nurse Practitioner (Pediatrics)
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Bexar County (210) 233-7000
DR. DANIEL BROWN D.O.
Family Medicine
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Bexar County (210) 233-7000
MR. REYNALDO MORALES POWAO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Bexar County (210) 233-7000

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 Shanice Latham's NPI number?

The NPI number for Shanice Latham is 1629698816. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Shanice Latham located?

Shanice Latham practices at 10002 Westover Blf, San Antonio, TX 78251. The listed phone number is (210) 233-7000.

What is Shanice Latham's specialty?

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

Is Shanice Latham enrolled in Medicare?

Yes. Shanice Latham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shanice Latham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanice Latham reassigns Medicare benefits to Barrio Comprehensive Family Health Care Center,inc. (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 Shanice Latham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanice Latham 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 4 other insurers list Shanice Latham 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 Shanice Latham was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.