Individual provider Active NPI

Duane Allen Penshorn, MD

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1235221771
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M9573 Issued in TX
Practice address
8401 Datapoint Dr Ste 500
San Antonio, TX 78229-5907
Phone
(210) 614-0180
Fax
(210) 566-5698
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M9573 TX Primary

Addresses

Primary practice location

8401 Datapoint Dr Ste 500
San Antonio, TX 78229-5907

Mailing address

1772 Oakmont Cir
New Braunfels, TX 78132-3846
Phone (830) 832-6101

Other identifiers 1

IdentifierTypeStateIssuer
194892901MedicaidTX

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
I20080902000519 TX Practitioner - Emergency Medicine 1254426745 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comal Emergency Physicians PLLCGroup PAC ID 6901259936, 81 clinicians

Practice addresses (Care Compare)

244 Creekside Xing
New Braunfels, TX 78130-3927
Phone (830) 608-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9573TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Comal Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 2, 2020 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Apr 16, 2019 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Jan 2, 2025 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

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

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 6

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 12

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1235221771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 OAKMONT CIR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323846",
            "telephone_number": "830-832-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295907",
            "telephone_number": "210-614-0180",
            "fax_number": "210-566-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSHORN",
        "first_name": "DUANE",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M9573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194892901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.