AUGUSTAH JEREMIAH POUTRE M.D.
NPI 1831419944
Radiology - Diagnostic Radiology in San Antonio, TX

Q: What is Augustah Poutre's NPI number?

The NPI number for Augustah Poutre is 1831419944. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Q: What is Augustah Poutre's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Augustah Poutre was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 11, 2010PECOS EnrolledAccepts Medicare Assignment

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-2011 Get Directions Write a Review

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

Record update history: Jan 28, 2026, Aug 9, 2023, Aug 2, 2022 and 2 more (5 updates tracked since 2019).

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About Augustah Jeremiah Poutre M.d. NPPES

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

AUGUSTAH JEREMIAH POUTRE M.D. (NPI 1831419944) is an individual diagnostic radiology provider in San Antonio, Texas, licensed in Texas (R3945) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-davis, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2010).

NPPES Registry Identity

NPI1831419944

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameAUGUSTAH JEREMIAH POUTRECredential: M.D.

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address333 N Santa RosaSan Antonio, TX 78207-3108 · (210) 704-2011

Phone(210) 704-2011

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2010

Enumeration DateJune 11, 2010

Last NPPES UpdateJanuary 28, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1831419944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in TX · R3945✔ Licensed in HI · 16264

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

333 N SANTA ROSA, San Antonio, TX 78207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

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

Augustah Jeremiah Poutre M.d. 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 ID345777314

PECOS Enrollment IDI20250102003792

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.

Hospital Affiliations CMS Care Compare 3

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

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460041

Location1600 West Antelope DriveLayton, UT 84041 · Davis County

Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460051

Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County

Emergency services Birthing friendly

Moab Regional Hospital

Critical Access Hospitals · Moab, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number461302

Location450 West Williams WayMoab, UT 84532 · Grand County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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

$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.

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)