SPCSA PLLC
NPI 1720008527
Anesthesiology - Pain Medicine in San Antonio, TX

Active since July 21, 2006
3903 WISEMAN BLVD STE 101, SAN ANTONIO, TX 78251(210) 615-1901(210) 615-1905 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2023, Mar 14, 2023, Dec 12, 2022 and 2 more (5 updates tracked since 2021).

About Spcsa Pllc NPPES

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

SPCSA PLLC (NPI 1720008527), doing business as Spine & Pain Center Of San Antonio, is a healthcare organization registered as a pain medicine in San Antonio, Texas and active in the NPI registry since July 2006. The organization maintains 2 additional practice locations and lists Sergio Jose Alvarado, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1720008527
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSPCSA PLLC
Location Address3903 WISEMAN BLVD STE 101San Antonio, TX 78251-4402
Mailing AddressP.o. Box 117614Carollton, TX 75011-7614 · (210) 615-1901 · Fax (210) 615-1905
Fax(210) 615-1905
Organization SubpartNo
Authorized OfficialSergio Jose AlvaradoAuthorized Official · (210) 576-7246
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 22, 20255 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1720008527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
3903 WISEMAN BLVD STE 101, San Antonio, TX 78251

Other Names 2

Doing Business AsSpine & Pain Center Of San Antonio
Former Legal Business NameDennis Karasek Md Pllc

Secondary Practice Locations 2

Location 112602 Toepperwein Road, Ste 118Live Oak, TX 78233-3271 · Phone (210) 615-1901 · Fax (210) 615-1905
Location 212602 Toepperwein Road, Ste 218San Antonio, TX 78233-3271 · Phone (210) 615-1901 · Fax (210) 615-1905

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spcsa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20061013000113Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Spcsa PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1699070144
3903 WISEMAN BLVD, STE 311
San Antonio, TX 78251
(210) 615-1901
✔ PECOSSame address
Interventional Pain Management
NPI 1679572994
3903 WISEMAN BLVD, STE 311
San Antonio, TX 78251
(210) 615-1901
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205826096
5837 DE ZAVALA RD UNIT 691286
San Antonio, TX 78269
(210) 370-7608
✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1447583042
3603 PAESANOS PKWY STE 205A
San Antonio, TX 78231
(210) 615-1901
✔ PECOS12 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689665432
1500 CITYWEST BLVD STE 300
Houston, TX 77042
(713) 620-4000
✔ Accepts Medicare189 mi

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

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 Spcsa PLLC's NPI number?

The NPI number for Spcsa PLLC is 1720008527. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Spine & Pain Center of San Antonio. The provider was formerly known as Dennis Karasek MD PLLC.

Where is Spcsa PLLC located?

Spcsa PLLC is located at 3903 Wiseman Blvd Ste 101, San Antonio, TX 78251. The listed phone number is (210) 615-1901.

What is Spcsa PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Spcsa PLLC enrolled in Medicare?

Yes. Spcsa PLLC is registered in the Medicare PECOS enrollment system.

When is Spcsa PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spcsa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Spcsa PLLC, in Certified Registered Nurse Anesthetist (CRNA), Interventional Pain Management and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spcsa PLLC accept?

Health plans from WellPoint list Spcsa PLLC 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 Spcsa PLLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.