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

Q: 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.

Q: What is Jessica Pathrose's specialty?

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

Q: 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 2 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.

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: August 16, 2026.

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

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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 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

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Medicare Participation & PECOS CMS

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

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.

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)