JOEL SARMIENTO
Accepted Insurance for NPI 1790148708
Pediatrics in Austin, TX

Active since March 29, 2016
13917 W HIGHWAY 71 STE A, AUSTIN, TX 78738(512) 610-7030(512) 610-7034 Get Directions

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Joel Sarmiento take my insurance?

22 Texas plans sold on HealthCare.gov for 2026 include Joel Sarmiento, from Baylor Scott and White Health Plan, Sendero Health Plans, Local Nonprofit and Moda Health. Moda Health also lists Joel Sarmiento in Alaska and Oregon.

Call before you book: insurer directories can be out of date, so call the office at (512) 610-7030 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

34 plans · 2026 plan year

Texas plans 22 plans

Plans sold to Texas residents. Costs are for the standard version of each plan.

Baylor Scott and White Health Plan

10 plans · HMO
Accepting new patients
BSW Elite Gold HMO 012HMOGold$50040788TX0460012
BSW Elite Gold HMO 004HMOGold$1,55040788TX0460004
BSW Diabetes Care Gold HMO 014HMOGold$1,70040788TX0460014
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)HMOGold$2,00040788TX0460001
BSW Prime Silver HMO 005HMOSilver$3,00040788TX0460005
BSW Prime Silver HMO 008HMOSilver$5,00040788TX0460008
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay)HMOSilver$6,00040788TX0460003
BSW Savers Bronze HMO H S A 009HMOExpanded Bronze$5,30040788TX0460009
BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay)HMOExpanded Bronze$7,50040788TX0460007
BSW Savers Bronze HMO H S A 006HMOExpanded Bronze$8,00040788TX0460006

Sendero Health Plans, Local Nonprofit

7 plans · HMO
Accepting new patients
Sendero Health Real Gold / $350 DeductibleHMOGold$35071837TX0010002
Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic DrugsHMOGold$2,00071837TX0010018
Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 DeductibleHMOSilver$071837TX0010022
Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic DrugsHMOSilver$4,25071837TX0010001
Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic DrugsHMOSilver$6,00071837TX0010017
Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 SpecialistHMOExpanded Bronze$7,50071837TX0010020
Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic DrugsHMOExpanded Bronze$8,55071837TX0010008

Moda Health

5 plans · EPO
Accepting new patients
Moda Select Texas Standard GoldEPOGold$2,00017933TX0010009
Moda Select Texas Standard SilverEPOSilver$6,00017933TX0010008
Moda Select Texas Bronze HDHP 7500EPOExpanded Bronze$7,50017933TX0010007
Moda Select Texas Standard BronzeEPOExpanded Bronze$7,50017933TX0010010
Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)EPOExpanded Bronze$8,70017933TX0010006

Also listed in other states 12 plans · 2 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Moda Health · Alaska

7 plans · PPO
Accepting new patientsDeductible $1,500 to $7,500
Moda Select Alaska Gold 1500PPOGold$1,50073836AK0930001
Moda Select Alaska Standard GoldPPOGold$2,00073836AK0940001
Moda Select Alaska Silver 4500PPOSilver$4,50073836AK0930002
Moda Select Alaska Standard SilverPPOSilver$6,00073836AK0950001
Moda Select Alaska Bronze HDHP 5500PPOExpanded Bronze$5,50073836AK0970002
Moda Select Alaska Bronze 6500PPOExpanded Bronze$6,50073836AK0930003
Moda Select Alaska Standard BronzePPOExpanded Bronze$7,50073836AK0960001

Moda Health · Oregon

5 plans · EPO
Accepting new patientsDeductible $1,500 to $9,000
Moda Health Affinity Gold 1500EPOGold$1,50039424OR1680008
Moda Health Oregon Standard Gold AffinityEPOGold$1,80039424OR1670001
Moda Health Affinity Silver 6000EPOSilver$6,00039424OR1660001
Moda Health Oregon Standard Silver AffinityEPOSilver$6,10039424OR1670002
Moda Health Affinity Bronze 9000EPOExpanded Bronze$9,00039424OR1660002

Questions about Joel Sarmiento’s insurance

What insurance does Joel Sarmiento take?

In Texas, Baylor Scott and White Health Plan, Sendero Health Plans, Local Nonprofit and Moda Health include Joel Sarmiento in 22 Marketplace plans for 2026. Call the office at (512) 610-7030 to confirm your plan before booking.

Is Joel Sarmiento accepting new patients?

The insurers that list Joel Sarmiento report that Joel Sarmiento is accepting new patients. Call the office at (512) 610-7030 to confirm your plan before booking.

Do I need a referral to see Joel Sarmiento?

It depends on the plan: 7 of 22 Texas plans require a specialist referral.

Does Joel Sarmiento accept Medicare?

The CMS Medicare files linked to this NPI show no Medicare assignment or PECOS enrollment. Ask the office.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Baylor Scott and White Health Plan: Oct 15, 2026
Sendero Health Plans, Local Nonprofit: Oct 12, 2026
Moda Health: Oct 10, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.