THEODORE AREVALO MD NPI 1922019447

Hospitalist in San Antonio, TX

NPI 1922019447 Individual Male Years of Experience 30 Hospitalist PECOS Enrolled Accepts Medicare Approved Payment

About THEODORE AREVALO

Theodore Arevalo is a provider established in San Antonio, Texas and his medical specialization is hospitalist with more than 30 years of experience. He graduated from Baylor College Of Medicine in 1992. The NPI number of Theodore Arevalo is 1922019447 and was assigned on August 2006. The practitioner's primary taxonomy code is 208M00000X with license number J3965 (TX). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Theodore Arevalo is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Theodore Arevalo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with University Health System.

NPI

1922019447

Provider Name THEODORE AREVALO MD
Provider Location Address4502 MEDICAL DR SAN ANTONIO, TX 78229
Provider Mailing AddressUTHSCSA, DEPT. OF MEDICINE 7703 FLOYD CURL DRIVE, RM 5.069R SAN ANTONIO, TX 78229
GenderMale
NPI Entity TypeIndividual
Medical School NameBAYLOR COLLEGE OF MEDICINE
Graduation Year1992
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-10-2006
Last Update Date05-22-2008


Primary Taxonomy

Taxonomy Code208M00000X
ClassificationHospitalist
TypeAllopathic & Osteopathic Physicians
License No.J3965
License StateTX
Taxonomy DescriptionHospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Business Address

THEODORE AREVALO MD
4502 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 358-4000

Get Directions


Mailing Address

THEODORE AREVALO MD
UTHSCSA, DEPT. OF MEDICINE
7703 FLOYD CURL DRIVE, RM 5.069R
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 567-7000



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5597891903
PECOS Enrollment IDI20100324001017
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Theodore Arevalo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY HEALTH SYSTEM4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2637Acute Care Hospitals450213

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
110174283MEDICARE PIN (08)
36734401MEDICAID (05)TX
036734402OTHER (01)
80093KMEDICARE PIN (08)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770573834DR. ALLEN CLARENCE WHITFORD JR. D.O.
Individual
Emergency Medicine4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2078
1962481945 FRANCISCO G CIGARROA MD
Individual
Transplant Surgery4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1497724934 MARLO MAGSANOC NICOLAS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 567-4003
1215997507DR. CRAIG W COOLEY MD
Individual
Emergency Medicine4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2078
1215982434 STANLEY SCOTT OATMAN P.A-C
Individual
Physician Assistant4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-1972
1770526162DR. TRACY R JOHNSON MD
Individual
Physical Medicine & Rehabilitation4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2710
1295758977 JOHN S RICHARDSON MD
Individual
Anesthesiology4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1447266184 CLAUDIO F ZEBALLOS M.D.
Individual
Emergency Medicine4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2078
1770590481 GRAZYNA M. THOMAS PA
Individual
Physician Assistant4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2078
1457360943 RICHARD M STRIBLEY M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-1575
1699786566 SUSAN H NOORILY M.D.
Individual
Anesthesiology4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1568473080 MARIA BARNES CNM
Individual
Advanced Practice Midwife4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1932110459 SHERRY L. WERNER M.D.
Individual
Pathology (Anatomic Pathology)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1841201365 GREGORY ABRAHAMIAN MD
Individual
Transplant Surgery4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1114030319 STEPHEN CODY MD
Individual
Pediatrics4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 592-0400
1275646390 SHIRLEY DOEPKE CRNA
Individual
Nurse Anesthetist, Certified Registered4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1614
1376650440 BALAKUNTALAM KASINATH MD
Individual
Internal Medicine (Nephrology)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400
1902913072 DEAN KELLOGG, JR MD
Individual
Family Medicine (Geriatric Medicine)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400
1316054380 LOUISE BRUMFIELD CRNA
Individual
Nurse Anesthetist, Certified Registered4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400
1225145295 EUGENIA BRYAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.