TINESHA RIOS
NPI 1639575053
Nurse Practitioner - Family in San Antonio, TX
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 maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tinesha Rios reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78207
- Reassigned Medicare billing, Texas enrollment
- 1,129 clinicians in this Medicare group
Albuquerque, NM 87102
- Reassigned Medicare billing, New Mexico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, TXPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Tinesha Rios's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tinesha Rios reassigns Medicare benefits to 2 organizations: Community Medicine Associates (San Antonio, TX) and R & r Mental Wellness LLC (Albuquerque, NM). Each 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 Tinesha Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tinesha Rios accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc, Community First and Imperial Insurance Companies, Inc. and 1 other insurer 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 4 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.
# Tinesha Rios · NPI 1639575053
Family physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since November 12, 2014.
## Identity
- **NPI:** 1639575053 (Entity type: Individual)
- **Enumerated:** November 12, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP126966 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2121 SW 36TH ST, San Antonio, TX 78237-3360
- **Phone:** (210) 358-5100 · **Fax:** (210) 358-5157
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Medicine Associates (NPI 1245313329, San Antonio, TX); R & r Mental Wellness LLC (NPI 1255127999, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639575053) · Data from the CMS NPPES public registry.