Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TINESHA RIOS
NPI 1639575053
Nurse Practitioner - Family in San Antonio, TX

Active since November 12, 2014PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
2121 SW 36TH ST, SAN ANTONIO, TX 78237(210) 358-5100(210) 358-5157 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2026, Aug 15, 2025, May 12, 2025 and 2 more (5 updates tracked since 2021).

About Tinesha Rios NPPES

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

TINESHA RIOS (NPI 1639575053) is an individual family provider in San Antonio, Texas, licensed in Texas (AP126966) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639575053
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINESHA RIOS
Location Address2121 SW 36TH STSan Antonio, TX 78237-3360
Mailing AddressPo Box 734812Dallas, TX 75373-4812 · (210) 358-9500 · Fax (210) 358-9183
Fax(210) 358-5157
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 12, 2014
Last NPPES UpdateJune 23, 20265 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1639575053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP126966
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 74443 (NM), 323086 (AZ)
2121 SW 36TH ST, San Antonio, TX 78237

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

Tinesha Rios 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 ID8921321571
PECOS Enrollment IDI20150106001954, I20250613002355
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 5

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
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.
73 services73 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
53 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services39 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78237 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.

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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

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.

Pharmacist
2121 SW 36TH ST
SAN ANTONIO, TX 78237
Nurse Practitioner (Family)
2121 SW 36TH ST
SAN ANTONIO, TX 78237
Family Medicine
2121 SW 36TH ST
SAN ANTONIO, TX 78237
Internal Medicine
2121 SW 36TH ST
SAN ANTONIO, TX 78237
Pharmacist
2121 SW 36TH ST
SAN ANTONIO, TX 78237
Family Medicine
2121 SW 36TH ST
SAN ANTONIO, TX 78237
Pediatrics
2121 SW 36TH ST
SAN ANTONIO, TX 78237
Obstetrics & Gynecology
2121 SW 36TH ST
SAN ANTONIO, TX 78237

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 Tinesha Rios's NPI number?

The NPI number for Tinesha Rios is 1639575053. It was assigned to this individual provider in the NPPES registry on November 12, 2014.

Where is Tinesha Rios located?

Tinesha Rios practices at 2121 SW 36th St, San Antonio, TX 78237. The listed phone number is (210) 358-5100.

What is Tinesha Rios's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tinesha Rios enrolled in Medicare?

Yes. Tinesha Rios 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 Tinesha Rios accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Tinesha Rios 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.

Is Tinesha Rios affiliated with any hospitals?

According to CMS data, Tinesha Rios is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Tinesha Rios was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.