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KENNEDY MICHAEL TLASECA MD
NPI 1639604069
Family Medicine in San Antonio, TX

Active since April 24, 2017PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
1055 ADA ST, SAN ANTONIO, TX 78223(210) 358-5515(210) 358-5530 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2021, Feb 8, 2021, Aug 21, 2020 and 2 more (5 updates tracked since 2017).

About Kennedy Michael Tlaseca Md NPPES

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

KENNEDY MICHAEL TLASECA MD (NPI 1639604069) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (S6963) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639604069
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNEDY MICHAEL TLASECACredential: MD
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
Medical School CMSOtherGraduated 2017
Enumeration DateApril 24, 2017
Last NPPES UpdateDecember 21, 20215 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1639604069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · S6963
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X · License S6963 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
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 Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.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

Kennedy Michael Tlaseca Md 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 ID345519484
PECOS Enrollment IDI20200605000581
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

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.

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.
132 services86 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 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.

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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$63.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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
CHRISTINA ASHLEY LAWSON LCSW
Social Worker (Clinical)
1055 ADA ST
SAN ANTONIO, TX 78223
Bexar County (210) 358-5515

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 Kennedy Tlaseca's NPI number?

The NPI number for Kennedy Tlaseca is 1639604069. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Kennedy Tlaseca located?

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

What is Kennedy Tlaseca's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kennedy Tlaseca enrolled in Medicare?

Yes. Kennedy Tlaseca 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 Kennedy Tlaseca accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Kennedy Tlaseca 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 Kennedy Tlaseca affiliated with any hospitals?

According to CMS data, Kennedy Tlaseca is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Kennedy Tlaseca was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.