NPIMap

Individual provider Active NPI

Tawanda Stephen Kamucheka, MD

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1104490192
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U3264 Issued in TX
Practice address
16620 N US Highway 281 Ste 300
San Antonio, TX 78232-2679
Phone
(210) 871-4701
Fax
(210) 703-9155
NPI assigned
May 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U3264 TX
Hospitalist Physician 208M00000X U3264 TX
Emergency Medicine Physician 207P00000X U3264 TX Primary

Addresses

Primary practice location

16620 N US Highway 281 Ste 300
San Antonio, TX 78232-2679

Mailing address

16220 N US Hwy 281 Suite 300
San Antonio, TX 78232-3585
Phone (210) 871-4701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213002840 TX Practitioner - Emergency Medicine 7315347036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians
Lone Star Extensivists PLLCGroup PAC ID 3971036427, 10 clinicians
Inpatient Medicine Physicians PAGroup PAC ID 7911009055, 16 clinicians

Practice addresses (Care Compare)

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

29924 FM
Suite 3009
New Braunfels, TX 78132-2637
Phone (830) 620-0330

Hospital & facility affiliations

  • Hope Hospice Hospice, New Braunfels, TX, CCN 451522
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U3264TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Progressive Health of America, PLLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Lone Star Extensivists PLLC CurrentSince Apr 1, 2025 Accepting new patients
Inpatient Medicine Physicians PA Hospitalist CurrentSince Feb 1, 2025 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients

Locations

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1104490192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 N US HWY 281 SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323585",
            "telephone_number": "210-871-4701",
            "fax_number": "210-688-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N US HIGHWAY 281 STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322679",
            "telephone_number": "210-871-4701",
            "fax_number": "210-703-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMUCHEKA",
        "first_name": "TAWANDA",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U3264",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "U3264",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U3264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.