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CLAUDIA BERENICE PRADO
NPI 1780198077
Nurse Practitioner - Family in San Antonio, TX

Active since November 22, 2017PECOS EnrolledAccepts Medicare Assignment
6487 BLANCO RD, SAN ANTONIO, TX 78216(210) 921-3800(210) 334-2861 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2018, Nov 22, 2017 (2 updates tracked since 2017).

About Claudia Berenice Prado NPPES

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

CLAUDIA BERENICE PRADO (NPI 1780198077) is an individual family provider in San Antonio, Texas, licensed in Texas (AP133167) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2016).

NPPES Registry Identity

NPI1780198077
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAUDIA BERENICE PRADO
Location Address6487 BLANCO RDSan Antonio, TX 78216-6104
Mailing Address113 Pleasant Valley Dr, Ste 210Boerne, TX 78006-5683 · (830) 267-4575 · Fax (830) 267-4575
Phone(210) 921-3800
Fax(210) 334-2861
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2016
Enumeration DateNovember 22, 2017
Last NPPES UpdateDecember 13, 20182 updates tracked since enumeration
✔ NPI 1780198077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP133167
6487 BLANCO RD, San Antonio, TX 78216
Open in Google Maps ↗

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, Sendero Health Plans, Local Nonprofit and more.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

Claudia Berenice Prado 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 ID6305103953
PECOS Enrollment IDI20171206002889
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

8

Medicare enrollment records show Claudia Prado reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Antonio Np Associates PLLC
2.7 mi
Family Medicine
8700 CROWNHILL BLVD STE 206
San Antonio, TX 78209
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1790679595 (210) 272-0106
Alasdair Goldstein MD PA
5.2 mi
Specialist
9643 HUEBNER RD STE 102
San Antonio, TX 78240
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1790860799 (210) 614-8222
Sound Inpatient Physicians Of Texas I, Inc
5.7 mi
Hospitalist
111 DALLAS ST
San Antonio, TX 78205
  • Reassigned Medicare billing, Texas enrollment
  • 478 clinicians in this Medicare group
NPI 1811321797 (210) 297-7000
Gmg Health Systems Associates PA
9.5 mi
Family Medicine
720 PLEASANTON RD
San Antonio, TX 78214
  • Reassigned Medicare billing, Texas enrollment
  • 125 clinicians in this Medicare group
NPI 1023030160 (210) 921-3800
South Texas Ancillary Services, Ltd
9.5 mi
Family Medicine
720 PLEASANTON RD
San Antonio, TX 78214
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group
NPI 1063670289 (210) 921-3800
Hugo A. Rojas, M.D., P.A.
11 mi
Internal Medicine
2115 PLEASANTON RD, SUITE 205
San Antonio, TX 78221
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1215150883 (210) 922-3627
Usacs Integrated Acute Care Services Of Texas, PLLC
82 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443
Hospitalist Medicine Physicians Of Texas, PLLC
197 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
565 services260 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
116 services53 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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 5

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

JOSE ALEJANDRO CORTES MD
Family Medicine
6487 BLANCO RD
SAN ANTONIO, TX 78216
Bexar County (210) 921-3800
DOUGLAS VALBUENA PLAZA MD
Internal Medicine
6487 BLANCO RD
SAN ANTONIO, TX 78216
Bexar County (210) 921-3800
DIANA M. GARZA FNP-C
Nurse Practitioner (Family)
6487 BLANCO RD
SAN ANTONIO, TX 78216
Bexar County (210) 921-3800
DR. JOSE OSCAR SEDA M.D.
Family Medicine
6487 BLANCO RD
SAN ANTONIO, TX 78216
Bexar County (210) 921-3800
DR. AMBUR L. BROWN M.D.
Family Medicine
6487 BLANCO RD
SAN ANTONIO, TX 78216
Bexar County (210) 921-3800

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 Claudia Prado's NPI number?

The NPI number for Claudia Prado is 1780198077. It was assigned to this individual provider in the NPPES registry on November 22, 2017.

Where is Claudia Prado located?

Claudia Prado practices at 6487 Blanco Rd, San Antonio, TX 78216. The listed phone number is (210) 921-3800.

What is Claudia Prado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claudia Prado enrolled in Medicare?

Yes. Claudia Prado 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 Claudia Prado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Prado reassigns Medicare benefits to 8 organizations: San Antonio Np Associates PLLC (San Antonio, TX), Alasdair Goldstein MD PA (San Antonio, TX), Sound Inpatient Physicians Of Texas I, Inc (San Antonio, TX), Gmg Health Systems Associates PA (San Antonio, TX), South Texas Ancillary Services, Ltd (San Antonio, TX) and 3 more organizations, listed in the Medicare section above. 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 Claudia Prado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Prado accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit, UnitedHealthcare and WellPoint list Claudia Prado 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.

Is Claudia Prado affiliated with any hospitals?

According to CMS data, Claudia Prado is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Claudia Prado was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.