Individual provider Active NPI

Adolfo Noel Ceniza, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Burleson, TX
National Provider Identifier
1689657546
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
T4324 Issued in TX
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

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
220026384OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040216000213 MI Practitioner - Pathology 1759276256 Reassigns benefits to 1 organization
I20221206002142 IL Practitioner - Pathology 1759276256 Reassigns benefits to 1 organization
I20240717003326 TX Practitioner - Pathology 1759276256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pathology Consultants PAGroup PAC ID 2860402450, 4 clinicians

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

LicenseStateTypeSpecialty
036.162621ILMDAnatomic Pathology & Clinical Pathology Physician
T4324TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pathology Consultants, PA Anatomic Pathology & Clinical Pathology CurrentSince Mar 8, 2024 Accepting new patients
Serenalytics, LLC CurrentSince May 4, 2025 Accepting new patients
SSM Health Care Group Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2022 Accepting new patients
SSM Health Care Group CurrentSince Nov 1, 2022 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.