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: July 19, 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
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

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 (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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 78251 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Pediatrics
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Nurse Practitioner (Pediatrics)
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Family Medicine
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Nurse Practitioner (Psychiatric/Mental Health)
10002 WESTOVER BLF
SAN ANTONIO, TX 78251
Pediatrics
10002 WESTOVER BLF
SAN ANTONIO, TX 78251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629698816, enumerated as an "individual" on April 17, 2020.

The provider is located at 10002 WESTOVER BLF SAN ANTONIO, TX 78251 and the phone number is (210) 233-7000.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Oscar. Please consult your insurance carrier or call the provider to verify.