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ANTOINE ADDOUMIEH MD
NPI 1912393901
Internal Medicine - Interventional Cardiology in San Antonio, TX

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
5126 W LOOP 1604 N # 407, SAN ANTONIO, TX 78251(210) 281-9800(210) 281-1001 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2025, Sep 17, 2024, Apr 29, 2024 and 4 more (7 updates tracked since 2018).

About Antoine Addoumieh Md NPPES

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

ANTOINE ADDOUMIEH MD (NPI 1912393901) is an individual interventional cardiology provider in San Antonio, Texas, licensed in Texas (T0686) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (2022).

NPPES Registry Identity

NPI1912393901
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameANTOINE ADDOUMIEHCredential: MD
Location Address5126 W LOOP 1604 N # 407San Antonio, TX 78251-4408
Mailing Address5126 W Loop 1604 N # 407San Antonio, TX 78251-4408 · (210) 281-9800 · Fax (210) 281-1001
Phone(210) 281-9800
Fax(210) 281-1001
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2022
Enumeration DateApril 7, 2015
Last NPPES UpdateAugust 5, 20257 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1912393901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TX · T0686
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License T0686 (TX)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License T0686 (TX)
5126 W LOOP 1604 N # 407, San Antonio, TX 78251
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Antoine Addoumieh Md 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 ID9032411269
PECOS Enrollment IDI20210826000873
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

2

Medicare enrollment records show Antoine Addoumieh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Physician Practices, PLLC
9.7 mi
Surgery
15727 ANTHEM PKWY STE 600
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 227 clinicians in this Medicare group
NPI 1922252717 (210) 575-8501
Trustees Of Columbia University In The City Of New York
1,597 mi
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1477068971 (212) 305-9876

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 2

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.
257 services84 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.
17 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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 Antoine Addoumieh's NPI number?

The NPI number for Antoine Addoumieh is 1912393901. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Antoine Addoumieh located?

Antoine Addoumieh practices at 5126 W Loop 1604 N # 407, San Antonio, TX 78251. The listed phone number is (210) 281-9800.

What is Antoine Addoumieh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Antoine Addoumieh enrolled in Medicare?

Yes. Antoine Addoumieh 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 Antoine Addoumieh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antoine Addoumieh reassigns Medicare benefits to 2 organizations: Methodist Physician Practices, PLLC (San Antonio, TX) and Trustees Of Columbia University In The City Of New York (New York, NY). 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 Antoine Addoumieh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antoine Addoumieh accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Antoine Addoumieh 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 Antoine Addoumieh affiliated with any hospitals?

According to CMS data, Antoine Addoumieh is affiliated with Christus Santa Rosa Medical Center, Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Antoine Addoumieh was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.