Individual provider Active NPI

Kassondra Suzanne Grzankowski, M.D.

  • Gynecologic Oncology Physician
  • San Antonio, TX
National Provider Identifier
1316109648
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
S5634 Issued in TX
Practice address
8715 Village Dr Ste 116
San Antonio, TX 78217-5407
Phone
(210) 593-4980
Fax
(210) 593-4842
NPI assigned
Jun 27, 2008
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X S5634 TX Primary

Addresses

Primary practice location

8715 Village Dr Ste 116
San Antonio, TX 78217-5407

Mailing address

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-4980

Other practice location 1

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-4980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160525002943 AZ Practitioner - Gynecological Oncology 7810287208 Reassigns benefits to 1 organization
I20200610001794 TX Practitioner - Gynecological Oncology 7810287208 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
State University of New York at Buffalo School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8715 Village Dr
San Antonio, TX 78217-5407
Phone (210) 593-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5634TXMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Texas Cancer Institute, PLLC Gynecologic Oncology CurrentSince Jul 1, 2022 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Feb 1, 2017 Accepting new patients
South Texas Oncology and Hematology, PLLC CurrentSince Jul 1, 2023 Accepting new patients
South Texas Oncology and Hematology, PLLC Gynecologic Oncology CurrentSince Jul 1, 2023 Accepting new patients
Central Texas Medical Specialists PLLC Gynecologic Oncology CurrentSince Jun 1, 2020 Accepting new patients
Central Texas Medical Specialists, PLLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

12201 Renfert Way
Ste 245
Austin, TX 78758
Phone (512) 277-7500

1400 N Interstate 35
Austin, TX 78701
Phone (512) 324-8987

2600 E Mlk Blvd
Austin, TX 78702
Phone (512) 505-5571

900 E 30th St
Ste 100
Austin, TX 78705
Phone (512) 334-2777

9715 Burnet Rd
Ste 200
Austin, TX 78758
Phone (512) 334-2866

1420 River Rd
Ste 200
Boerne, TX 78006
Phone (830) 816-2552

3201 S Austin Ave
Ste 315
Georgetown, TX 78626
Phone (512) 302-1210

155 E Sonterra Blvd
Ste 200
San Antonio, TX 78258
Phone (210) 593-2584

4383 Medical Dr
San Antonio, TX 78229
Phone (210) 593-2584

502 Madison Oak Dr
Ste 120
San Antonio, TX 78258

8715 Village Dr
Ste 116
San Antonio, TX 78217
Phone (210) 215-2751

Organizations & group practices 8

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.

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1316109648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293307",
            "telephone_number": "210-593-4980",
            "fax_number": "210-593-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175407",
            "telephone_number": "210-593-4980",
            "fax_number": "210-593-4842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4383 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293307",
            "country_code": "US",
            "telephone_number": "210-593-4980",
            "fax_number": "210-593-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRZANKOWSKI",
        "first_name": "KASSONDRA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "S5634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.