Active NPI
Rosemaria Gennuso, MD
- Pediatric Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- M0411
- Practice address
- 4410 Medical Dr
Ste 540
San Antonio, TX 78229-6306 - Phone
- (210) 575-6240
- Fax
- (210) 575-6280
- NPI assigned
- Apr 25, 2006
- Last updated
- Jan 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | M0411 | TX | |
| Pediatrics Physician | 208000000X | M0411 | TX | |
| Surgical Critical Care Physician | 2086S0102X | M0411 | TX | |
| Pediatric Surgery Physician | 2086S0120X | M0411 | TX | Primary |
| Surgical Oncology Physician | 2086X0206X | M0411 | TX |
Addresses
Primary practice location
4410 Medical Dr
Ste 540
San Antonio, TX 78229-6306
Mailing address
8109 Fredericksburg Rd
Physician Practice Services
San Antonio, TX 78229-3311
Phone (210) 575-6240
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178202106 | Other | TX | CSHCN |
| 178202105 | Medicaid | TX | |
| 8BX390 | Other | BCBS TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ROSEMARIA.GENNUSO@hca7.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0411 | TX | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Physician Practices, PLLC | Neurological Surgery | Current | Accepting new patients |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Texas Institute of Medicine and Surgery | Neurological Surgery | Past | Accepting new patients |
| Texas Institute of Pediatrics PLLC | Neurological Surgery | Past | Accepting new patients |
Locations
111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195
4410 Medical Dr
Ste 540
San Antonio, TX 78229
Phone (210) 575-6240
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000
8109 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 575-0355
8201 Ewing Halsell Dr
San Antonio, TX 78229
Phone (210) 575-4837
Interoperability endpoints
- https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
- rosemaria.gennuso@hca7.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Surgery Physician
- San Antonio, TX
- NPI 1922252717
Neurological Surgery
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
- Transplant Surgery Physician
- San Antonio, TX
- NPI 1376501668
Neurological Surgery
-
dba Pediatric Specialists of Texas
- Pediatrics Physician
- San Antonio, TX
- NPI 1669633848
Neurological Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1093771297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 FREDERICKSBURG RD",
"address_2": "PHYSICIAN PRACTICE SERVICES",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293311",
"telephone_number": "210-575-6240",
"fax_number": "210-575-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR",
"address_2": "STE 540",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296306",
"telephone_number": "210-575-6240",
"fax_number": "210-575-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNUSO",
"first_name": "ROSEMARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "M0411",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M0411",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "M0411",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TX",
"license": "M0411",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "M0411",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "178202106",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178202105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "8BX390",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ROSEMARIA.GENNUSO@hca7.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "4410 Medical Dr",
"address_2": "STE 540",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782296306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.