Active NPI
Adolfo Noel Ceniza, MD
- Anatomic Pathology & Clinical Pathology Physician
- Burleson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- T4324
- Practice address
- 11801 South Fwy
Burleson, TX 76028-7021 - Phone
- (817) 293-4304
- Fax
- (817) 293-7244
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301066033 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | T4324 | TX | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036.162621 | IL |
Addresses
Primary practice location
11801 South Fwy
Burleson, TX 76028-7021
Mailing address
11838 Medpark Dr Ste 103
Burleson, TX 76028-0278
Phone (817) 293-4304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220026384 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.162621 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| T4324 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Pathology Consultants, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Serenalytics, LLC | Current | Accepting new patients | |
| SSM Health Care Group | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
11838 Medpark Dr
Ste 103
Burleson, TX 76028
Phone (817) 293-4304
11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738
2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Burleson, TX
- NPI 1275650715
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Anatomic Pathology & Clinical Pathology, IL
-
- Specialist
- Petoskey, MI
- NPI 1578546420
-
- Clinical Medical Laboratory
- Burleson, TX
- NPI 1780314914
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1356960132
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1518355759
-
- General Acute Care Hospital
- Burleson, TX
- NPI 1033120423
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1548273881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1689657546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11838 MEDPARK DR STE 103",
"city": "BURLESON",
"state": "TX",
"postal_code": "760280278",
"telephone_number": "817-293-4304",
"fax_number": "817-293-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11801 SOUTH FWY",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287021",
"telephone_number": "817-293-4304",
"fax_number": "817-293-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENIZA",
"first_name": "ADOLFO",
"middle_name": "NOEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301066033",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "T4324",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036.162621",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220026384",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.