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JESSICA PATHROSE DO
NPI 1669095477
Pediatrics - Pediatric Emergency Medicine in San Antonio, TX

Active since May 27, 2020PECOS Enrolled
333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2026, Apr 1, 2026, May 16, 2025 and 1 more (4 updates tracked since 2020).

About Jessica Pathrose Do NPPES

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

JESSICA PATHROSE DO (NPI 1669095477) is an individual pediatric emergency medicine provider in San Antonio, Texas, licensed in Texas (W4924) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669095477
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameJESSICA PATHROSECredential: DO
Location Address333 N SANTA ROSASan Antonio, TX 78207-3108
Mailing Address315 N San Saba Ste 1135San Antonio, TX 78207-3255 · (210) 704-3561
Phone(210) 704-3030
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateJune 1, 20264 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1669095477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TX · W4924
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License W4924 (TX), 323640 (NY)
333 N SANTA ROSA, San Antonio, TX 78207
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-2000
Location 23055 Southwestern Blvd Ste 104Orchard Park, NY 14127-1231 · Phone (716) 636-5437 ext. 217
Location 31800 Maple Rd Ste 100Williamsville, NY 14221-2749 · Phone (716) 636-5437 ext. 217

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Pathrose Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698198414
PECOS Enrollment IDI20260609001887
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Pathrose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine
Same address
Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
NPI 1285079764 (210) 704-3030
Rochester General Hospital
1,489 mi
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1174990303 (585) 922-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LATHA PRASANNAN MD
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
SOFIA SILVER COOK MD
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
NATALIE DIANE ETHRIDGE CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
BONNIE MCILYAR DURLEY DO
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3910
RAQUEL S PAZ
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (760) 912-1125
DR. OLGA M CAJAS MD
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-4966
LEA PORCHE M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (713) 798-1750
SETH T SORENSEN PHD
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030

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 Jessica Pathrose's NPI number?

The NPI number for Jessica Pathrose is 1669095477. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Jessica Pathrose located?

Jessica Pathrose practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-3030.

What is Jessica Pathrose's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jessica Pathrose enrolled in Medicare?

Yes. Jessica Pathrose is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Pathrose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Pathrose reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (San Antonio, TX) and Rochester General Hospital (Rochester, NY). 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 Jessica Pathrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Pathrose accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Jessica Pathrose 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.

When was this NPI record last updated?

The NPPES record for Jessica Pathrose was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.