Active NPI
Nneka Chinenye Enwereuzoh, MD
- Family Medicine Physician
- Boerne, TX
National Provider Identifier
1225590953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BP10066661
- Practice address
- 136 Old San Antonio Rd Ste 406
Boerne, TX 78006-3341 - Phone
- (830) 331-4270
- Fax
- (830) 331-4218
- NPI assigned
- Apr 2, 2019
- Last updated
- Mar 26, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10066661 | TX | Primary |
Addresses
Primary practice location
136 Old San Antonio Rd Ste 406
Boerne, TX 78006-3341
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (830) 331-4270
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nneka.enwereuzoh.1@29601.direct.athenahealth.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
136 Old San Antonio Rd
Suite 406
Boerne, TX 78006-3341
Phone (830) 331-4270
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10066661 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (SC) PC | Family Medicine | Current | Accepting new patients |
| Conviva Medical Center Management of Texas, P.a. | Family Medicine | Current | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
136 Old San Antonio Rd
Ste 406
Boerne, TX 78006
Phone (830) 331-4270
260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222
Interoperability endpoints
- nneka.enwereuzoh.1@29601.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Live Oak, TX
- NPI 1770988990
Family Medicine
-
dba CenterWell Senior Primary Care-Orchard Park
- Internal Medicine Physician
- Greenville, SC
- NPI 1376907790
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crest Home Health
- Home Health Agency
- Boerne, TX
- NPI 1891807277
-
dba AccentCare Home Health of Texas
- Home Health Agency
- San Antonio, TX
- NPI 1396968491
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1447399696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1225590953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "830-331-4270",
"fax_number": "830-331-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 OLD SAN ANTONIO RD STE 406",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063341",
"telephone_number": "830-331-4270",
"fax_number": "830-331-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENWEREUZOH",
"first_name": "NNEKA",
"middle_name": "CHINENYE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10066661",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nneka.enwereuzoh.1@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "136 Old San Antonio Rd Ste 406",
"city": "Boerne",
"state": "TX",
"country_code": "US",
"postal_code": "780063341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.