DR. JACQUELINE DANIELLE VIDOSH MD
NPI 1760772479
Obstetrics & Gynecology in Fort Sam Houston, TX

Active since April 14, 2011PECOS Enrolled
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 539-9582 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Jul 12, 2024, Dec 14, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Jacqueline Danielle Vidosh Md NPPES

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

DR. JACQUELINE DANIELLE VIDOSH MD (NPI 1760772479) is an individual obstetrics & gynecology provider in Fort Sam Houston, Texas, licensed in Texas (R9034) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jbsa Lackland.

NPPES Registry Identity

NPI1760772479
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JACQUELINE DANIELLE VIDOSHCredential: MD
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 916-1598
Sole ProprietorNo
Enumeration DateApril 14, 2011
Last NPPES UpdateSeptember 5, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1760772479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in TX · R9034 Licensed in IN · 01073696A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Other Names 1

Former Name (1)Jacqueline Danielle Battistelli Md

Secondary Practice Location 1

Location 11100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · Phone (210) 292-8966

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jacqueline Danielle Vidosh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 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.

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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Jacqueline Vidosh's NPI number?

The NPI number for Jacqueline Vidosh is 1760772479. It was assigned to this individual provider in the NPPES registry on April 14, 2011. The provider is also known as Jacqueline Danielle Battistelli MD.

Where is Jacqueline Vidosh located?

Jacqueline Vidosh practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-9582.

What is Jacqueline Vidosh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqueline Vidosh enrolled in Medicare?

Yes. Jacqueline Vidosh is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Vidosh accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Jacqueline Vidosh 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 Jacqueline Vidosh was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.