PRASANTHA BATHINI MD
NPI 1710977673
Internal Medicine - Cardiovascular Disease in San Antonio, TX

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
1567 GOLIAD RD, SAN ANTONIO, TX 78223(726) 240-6950(210) 761-3397 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prasantha Bathini Md NPPES

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

PRASANTHA BATHINI MD (NPI 1710977673) is an individual cardiovascular disease provider in San Antonio, Texas, licensed in Texas (M2555) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1710977673
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NamePRASANTHA BATHINICredential: MD
Location Address1567 GOLIAD RDSan Antonio, TX 78223-2719
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Fax(210) 761-3397
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 24, 2005
Last NPPES UpdateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1710977673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · M2555
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1567 GOLIAD RD, San Antonio, TX 78223

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

Prasantha Bathini 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 ID7719954890
PECOS Enrollment IDI20060118000675
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 Prasantha Bathini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
Internal Medicine
12602 TOEPPERWEIN RD STE 100
Live Oak, TX 78233
  • Reassigned Medicare billing, Texas enrollment
  • 161 clinicians in this Medicare group

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 3

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.
80 services58 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
42 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1567 GOLIAD RD
SAN ANTONIO, TX 78223
Family Medicine
1567 GOLIAD RD
SAN ANTONIO, TX 78223
Family Medicine
1567 GOLIAD RD
SAN ANTONIO, TX 78223
Nurse Practitioner (Family)
1567 GOLIAD RD
SAN ANTONIO, TX 78223
Nurse Practitioner (Family)
1567 GOLIAD RD
SAN ANTONIO, TX 78223

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 Prasantha Bathini's NPI number?

The NPI number for Prasantha Bathini is 1710977673. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Prasantha Bathini located?

Prasantha Bathini practices at 1567 Goliad Rd, San Antonio, TX 78223. The listed phone number is (726) 240-6950.

What is Prasantha Bathini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Prasantha Bathini enrolled in Medicare?

Yes. Prasantha Bathini 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 Prasantha Bathini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasantha Bathini reassigns Medicare benefits to 2 organizations: Community Medicine Associates (San Antonio, TX) and Conviva Medical Center Management Of Texas, P.A. (Live Oak, TX). 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 Prasantha Bathini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prasantha Bathini accept?

Health plans from Blue Cross and Blue Shield of Texas list Prasantha Bathini 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 Prasantha Bathini was last updated on August 17, 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.