DR. ADRIANNE DEWALT VAUGHN M.D.
NPI 1649263740
Allergy & Immunology - Allergy in San Antonio, TX

Active since August 24, 2005Opted out of Medicare · through Nov 25, 2027
115 GALLERY CIR STE 200, SAN ANTONIO, TX 78258(210) 499-0033(210) 404-0926 Get Directions Write a Review

NPPES record last updated: November 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Adrianne Dewalt Vaughn M.d. NPPES

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

DR. ADRIANNE DEWALT VAUGHN M.D. (NPI 1649263740) is an individual allergy provider in San Antonio, Texas, licensed in Texas (J1970) and active in the NPI registry since August 2005. She has opted out of Medicare through November 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649263740
Entity TypeIndividualFemale
Primary Taxonomy207KA0200X
Provider Legal NameDR. ADRIANNE DEWALT VAUGHNCredential: M.D.
Location Address115 GALLERY CIR STE 200San Antonio, TX 78258-3492
Mailing Address21314 W Tejas TrlSan Antonio, TX 78257-1691 · (210) 326-3187 · Fax (210) 404-0926
Fax(210) 404-0926
Sole ProprietorYes
Enumeration DateAugust 24, 2005
Last NPPES UpdateNovember 25, 2023
NPPES CertifiedNovember 25, 2023
NPI 1649263740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in TX · J1970
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
115 GALLERY CIR STE 200, San Antonio, TX 78258

Other Identifiers 1

Medicaid167437601TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Adrianne Dewalt Vaughn M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 25, 2023 through November 25, 2027.

Opt-Out Effective DateNovember 25, 2023
Opt-Out In Effect ThroughNovember 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Adrianne Vaughn's NPI number?

The NPI number for Adrianne Vaughn is 1649263740. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Adrianne Vaughn located?

Adrianne Vaughn practices at 115 Gallery Cir Ste 200, San Antonio, TX 78258. The listed phone number is (210) 499-0033.

What is Adrianne Vaughn's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Adrianne Vaughn enrolled in Medicare?

No. Adrianne Vaughn has opted out of Medicare through November 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Adrianne Vaughn was last updated on November 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.