Individual provider Active NPI

Richard G Hensley, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1104817022
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J4201 Issued in TX
Practice address
111 Dallas St
San Antonio, TX 78205-1201
Phone
(512) 579-4000
Fax
(512) 439-2814
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X J4201 TX Primary

Addresses

Primary practice location

111 Dallas St
San Antonio, TX 78205-1201

Mailing address

3445 Executive Center Dr Ste 250
Austin, TX 78731-1678
Phone (512) 579-4000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318001545 TX Practitioner - Pathology 7315178258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom and HuangGroup PAC ID 7113942798, 51 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (512) 579-4000

1215 E Court St
Seguin, TX 78155-5129
Phone (512) 579-4000

3333 Research PLZ
San Antonio, TX 78235-5154
Phone (512) 579-4000

3445 Executive Ctr Dr
Suite 250
Austin, TX 78731-1678
Phone (512) 579-4000

520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (512) 579-4000

555 Creekside Xing
New Braunfels, TX 78130-2594
Phone (512) 579-4000

8811 Village Dr
San Antonio, TX 78217-5415
Phone (512) 579-4000

Hospital & facility affiliations

  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Westover Hills Baptist Hospital Hospital, San Antonio, TX, CCN 670333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4201TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Pathology Services PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2002 Accepting new patients
Pathology Associates of San Antonio, L.L.P. Anatomic Pathology & Clinical Pathology CurrentSince Jan 17, 2021 Accepting new patients
Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2024 Accepting new patients

Locations

3445 Executive Center Dr
Ste 250
Austin, TX 78731
Phone (512) 339-1275

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

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

9720 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

519 W Houston St
Fl 3
San Antonio, TX 78207
Phone (210) 225-3750

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

9600 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

Organizations & group practices 3

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 6

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1104817022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DR STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DALLAS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051201",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "RICHARD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.