NPIMap

Individual provider Active NPI

Pamela D Cantu, M.D.

  • Internal Medicine Physician
  • Kerrville, TX
National Provider Identifier
1437107901
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H9836 Issued in TX
Practice address
1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535
Phone
(830) 258-7762
Fax
(302) 587-1188
NPI assigned
May 5, 2006
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H9836 TX Primary

Addresses

Primary practice location

1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535

Mailing address

575 Hill Country Dr
Kerrville, TX 78028-6024

Other practice location 1

97 Hitchin Post
Fredericksburg, TX 78624-3395
Phone (830) 307-5002

Other identifiers 1

IdentifierTypeStateIssuer
128479601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000186 TX Practitioner - Internal MedicinePractitioner - Hospitalist 3476740697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

1331 Bandera Hwy
Suite 4
Kerrville, TX 78028-9535
Phone (830) 258-7090

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Associates Internal Medicine CurrentSince Apr 17, 2023 Accepting new patients
Rio Grande Valley Hospital Services Internal Medicine Past Accepting new patients
South Texas Physician Group, PLLC Internal Medicine PastSince May 6, 2023 Accepting new patients

Locations

97 Hitchin Post
Fredericksburg, TX 78624
Phone (830) 307-5002

1331 Bandera Hwy
Ste 4
Kerrville, TX 78028
Phone (830) 258-7762

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

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

Interoperability endpoints

  • Direct secure messaging: pamela.cantu.1@21041.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1437107901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY STE 4",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289535",
            "telephone_number": "830-258-7762",
            "fax_number": "302-587-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Hitchin Post",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "TX",
            "postal_code": "786243395",
            "country_code": "US",
            "telephone_number": "830-307-5002",
            "fax_number": "833-344-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "PAMELA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128479601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.