NPIMap

Natalie Marie Acevedo, MD

Individual provider Active NPI Sports Medicine (Family Medicine) Physician · San Antonio, TX

NPI 1366068124 · NPPES record last updated Jul 29, 2025

Key facts

NPI
1366068124
Entity type
Individual (NPI type 1)
Primary specialty
Sports Medicine (Family Medicine) Physician 207QS0010X
License
V9259 (TX)
Practice address
13722 Embassy Row
San Antonio, TX 78216-2000
Phone
(726) 207-3656
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refugio County Memorial Hospital District (11 clinicians)
TMC Provider Group PLLC (213 clinicians)
Lavaca Hospital District (23 clinicians)
Concord Medical Group PLLC (189 clinicians)
Concord Medical Group of Texas PLLC (319 clinicians)

Practice addresses (Care Compare)

107 Swift St
Refugio, TX 78377-2425
Phone 3615262321138

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (726) 207-3656

1400 N Texana St
Hallettsville, TX 77964-2021
Phone (361) 798-3671

3349 S High Way
Suite 181
Kenedy, TX 78119-5240
Phone (830) 583-3401

3349 S Hwy 181
Kenedy, TX 78119-5247
Phone (830) 583-3401

Hospital & facility affiliations

  • Mid Coast Medical Center - Central Hospital · Llano, TX · CCN 451396
  • Lavaca Medical Center Hospital · Hallettsville, TX · CCN 451376
  • Otto Kaiser Memorial Hospital Hospital · Kenedy, TX · CCN 451364
  • El Campo Memorial Hospital Hospital · El Campo, TX · CCN 450694

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA, TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231016000631 CA Practitioner - Family Practice 3173978996 Reassigns benefits to 1 organization
I20250825004347 TX Practitioner - Family Practice 3173978996 Reassigns benefits to 7 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V9259TXMDSports Medicine (Family Medicine) Physician

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Single Specialty Current
since Oct 19, 2025		 Accepting new patients
Refugio County Memorial Hospital District Current
since Dec 15, 2025		 Accepting new patients
Healthcare Partners Affiliates Medical Group Single Specialty Current
since Oct 14, 2023		 Accepting new patients
Concord Medical Group PLLC Single Specialty Current
since Oct 20, 2025		 Accepting new patients
Refugio County Memorial Hospital District Current
since Dec 15, 2025		 Accepting new patients
Refugio County Memorial Hospital District Single Specialty Current
since Dec 15, 2025		 Accepting new patients
TMC Provider Group PLLC Single Specialty Current Accepting new patients
Healthcare Partners Affiliates Medical Group Current
since Oct 14, 2023		 Accepting new patients
TMC Provider Group PLLC Current
since Aug 25, 2025		 Accepting new patients
TMC Provider Group PLLC Single Specialty Current
since Aug 25, 2025		 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

107 Swift St
Refugio, TX 78377
Phone (361) 526-2321

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X V9259 TX Yes

Addresses

Primary practice location

13722 Embassy Row
San Antonio, TX 78216-2000

Mailing address

PO Box 1981
Montebello, CA 90640-7981
Phone (323) 719-8933

Other practice location 1

797 S Fair Oaks Ave
Pasadena, CA 91105-2617
Phone (626) 795-2244

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2025.

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1366068124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1981",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906407981",
            "telephone_number": "323-719-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "726-207-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "797 S Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052617",
            "country_code": "US",
            "telephone_number": "626-795-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "V9259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

All providers in San Antonio, TX · Sports Medicine (Family Medicine) Physician in Texas

Sources for this page

Verify at the official NPI Registry.