Individual provider Active NPI

Cresencio Duran Jr., DO

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1689848137
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0708 Issued in TX
Practice address
7355 Barlite Blvd
Suite 301
San Antonio, TX 78224-1342
Phone
(210) 222-0333
Fax
(210) 928-4837
NPI assigned
Apr 16, 2008
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R0708 TX Primary

Addresses

Primary practice location

7355 Barlite Blvd
Suite 301
San Antonio, TX 78224-1342

Mailing address

PO Box 830605
San Antonio, TX 78283-0605
Phone (210) 222-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161222000452 TX Practitioner - Family Practice 2668611328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GMG Health Systems Associates PAGroup PAC ID 8123932647, 115 clinicians

Practice addresses (Care Compare)

1130 Goliad Rd
Gonzaba Medical Group
San Antonio, TX 78223-1846
Phone (210) 921-3800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0708TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GMG Health Systems Associates PA Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Garza Medical Group @ South Alamo Family Medicine PastSince Nov 30, 2020 Accepting new patients

Locations

1130 Goliad Rd
San Antonio, TX 78223

1303 McCullough Ave
Ste 170
San Antonio, TX 78212
Phone (210) 223-8727

3520 S New Braunfels Ave
Ste 106A
San Antonio, TX 78223

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18288/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1689848137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782830605",
            "telephone_number": "210-222-0333",
            "fax_number": "210-928-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 BARLITE BLVD",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241342",
            "telephone_number": "210-222-0333",
            "fax_number": "210-928-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "CRESENCIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.