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DIANE JENDRZEY M.D.
NPI 1790764983
Pediatrics in San Antonio, TX

Active since January 16, 2006PECOS Enrolled
8366 N LOOP 1604 W, STE 105, SAN ANTONIO, TX 78249(210) 680-6000(210) 680-9153 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diane Jendrzey M.d. NPPES

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

DIANE JENDRZEY M.D. (NPI 1790764983) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (G8199) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790764983
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDIANE JENDRZEYCredential: M.D.
Location Address8366 N LOOP 1604 W, STE 105San Antonio, TX 78249-3533
Mailing Address333 N Santa Rosa St, Ste D4023San Antonio, TX 78207-3108 · (469) 282-2711 · Fax (469) 282-2609
Phone(210) 680-6000
Fax(210) 680-9153
Sole ProprietorNo
Enumeration DateJanuary 16, 2006
Last NPPES UpdateOctober 31, 2016
✔ NPI 1790764983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · G8199
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8366 N LOOP 1604 W, San Antonio, TX 78249
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Other Identifiers 7

Medicare PIN87460G
Medicaid136388904TX
Medicare UPINB23752TX
Other87460GTX · Bcbs
Medicaid136388910TX
Medicaid136388908TX
Other1790764983TX · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Jendrzey M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Diane Jendrzey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas
276 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78249 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 2

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

AMBER M MORENO DO
Pediatrics
8366 N LOOP 1604 W, STE 105
SAN ANTONIO, TX 78249
Bexar County (210) 680-6000
JANET M NOLL M.D.
Pediatrics
8366 N LOOP 1604 W, STE 105
SAN ANTONIO, TX 78249
Bexar County (210) 680-6000

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 Diane Jendrzey's NPI number?

The NPI number for Diane Jendrzey is 1790764983. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Diane Jendrzey located?

Diane Jendrzey practices at 8366 N Loop 1604 W Ste 105, San Antonio, TX 78249. The listed phone number is (210) 680-6000.

What is Diane Jendrzey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Diane Jendrzey enrolled in Medicare?

Yes. Diane Jendrzey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Jendrzey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Jendrzey reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). The 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 Diane Jendrzey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Jendrzey accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Diane Jendrzey 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 Diane Jendrzey was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.