Individual provider Active NPI

Natalie Marie Acevedo, MD

  • Sports Medicine (Family Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1366068124
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
V9259 Issued in TX
Practice address
13722 Embassy Row
San Antonio, TX 78216-2000
Phone
(726) 207-3656
NPI assigned
Jun 17, 2020
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refugio County Memorial Hospital DistrictGroup PAC ID 1153216783, shared by 6 NPIs, 11 clinicians
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians
Lavaca Hospital DistrictGroup PAC ID 1153211750, shared by 4 NPIs, 23 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Aug 25, 2025 Accepting new patients
TMC Provider Group PLLC Single Specialty Current Accepting new patients
Concord Medical Group PLLC Single Specialty CurrentSince Oct 20, 2025 Accepting new patients
Refugio County Memorial Hospital District CurrentSince Dec 15, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Single Specialty CurrentSince Oct 14, 2023 Accepting new patients
TMC Provider Group PLLC Single Specialty CurrentSince Aug 25, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Single Specialty CurrentSince Oct 19, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 14, 2023 Accepting new patients
Refugio County Memorial Hospital District Single Specialty CurrentSince Dec 15, 2025 Accepting new patients
Refugio County Memorial Hospital District CurrentSince Dec 15, 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) 216-2606

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

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

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.