ROBERT MEDINA JR.
NPI 1790653160
Nurse Practitioner - Family in San Antonio, TX

Active since October 28, 2025PECOS EnrolledAccepts Medicare Assignment
5301 ALAMO PKWY, SAN ANTONIO, TX 78253(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Medina Jr. NPPES

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

ROBERT MEDINA JR. (NPI 1790653160) is an individual family provider in San Antonio, Texas, licensed in Texas (1195417) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790653160
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROBERT MEDINA JR.
Location Address5301 ALAMO PKWYSan Antonio, TX 78253-6771
Mailing Address518 Lynx MtnSan Antonio, TX 78251-4286 · (830) 322-9654
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 27, 2025
NPI 1790653160 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 · 1195417
5301 ALAMO PKWY, San Antonio, TX 78253

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert Medina Jr. 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 ID648763698
PECOS Enrollment IDI20251208000960
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 78253 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 10

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

Contractor
5301 ALAMO PKWY
SAN ANTONIO, TX 78253
Nurse Practitioner (Family)
5301 ALAMO PKWY
SAN ANTONIO, TX 78253
Nurse Practitioner (Family)
5301 ALAMO PKWY
SAN ANTONIO, TX 78253
Nurse Practitioner (Family)
5301 ALAMO PKWY
SAN ANTONIO, TX 78253
Nurse Practitioner (Family)
5301 ALAMO PKWY
SAN ANTONIO, TX 78253
Nurse Practitioner (Family)
5301 ALAMO PKWY
SAN ANTONIO, TX 78253
Nurse Practitioner (Family)
5301 ALAMO PKWY
SAN ANTONIO, TX 78253
Pharmacist
5301 ALAMO PKWY
SAN ANTONIO, TX 78253

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 Robert Medina's NPI number?

The NPI number for Robert Medina is 1790653160. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Robert Medina located?

Robert Medina practices at 5301 Alamo Pkwy, San Antonio, TX 78253. The listed phone number is (866) 389-2727.

What is Robert Medina's specialty?

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

Is Robert Medina enrolled in Medicare?

Yes. Robert Medina 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.

When was this NPI record last updated?

The NPPES record for Robert Medina was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.