Organization Active NPI

Duncan Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
National Provider Identifier
1396498879
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DUNCAN MEDICAL GROUP
Practice address
300 E Sonterra Blvd Ste 340
San Antonio, TX 78258-3972
Phone
(210) 990-7246
NPI assigned
Feb 3, 2022
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Dr. Ellen Boyle Duncan, M.D.NPI 1972535508
Title
Owner
Phone
(210) 990-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

300 E Sonterra Blvd Ste 340
San Antonio, TX 78258-3972

Mailing address

300 E Sonterra Blvd Ste 340
San Antonio, TX 78258-3972
Phone (210) 990-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220314001429 TX Part B Supplier - Clinic/Group Practice 4284029083 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

300 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 253-7771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1396498879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E SONTERRA BLVD STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583972",
            "telephone_number": "210-990-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E SONTERRA BLVD STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583972",
            "telephone_number": "210-990-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "BOYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-990-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.