Individual provider Active NPI

Matthew Hennessey, DO

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1760068530
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U7432 Issued in TX
Practice address
11503 NW Military Hwy Ste 202
San Antonio, TX 78231-1895
Phone
(210) 233-6363
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X U7432 TX Primary

Addresses

Primary practice location

11503 NW Military Hwy Ste 202
San Antonio, TX 78231-1895

Mailing address

11503 NW Military Hwy Ste 202
San Antonio, TX 78231-1895
Phone (210) 233-6363

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
I20241127003963 TX Practitioner - Emergency Medicine 3779972815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comal Emergency Physicians PLLCGroup PAC ID 6901259936, 81 clinicians

Practice addresses (Care Compare)

244 Creekside Xing
New Braunfels, TX 78130-3927
Phone (830) 608-5600

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Sep 22, 2024 Accepting new patients
Comal Emergency Physicians, PLLC Emergency Medicine CurrentSince Nov 6, 2024 Accepting new patients
Greater San Antonio Emergency Physicians, PA Emergency Medicine PastSince Jul 7, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • Direct secure messaging: mhennessey167448@direct-guthrie.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1760068530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311895",
            "telephone_number": "210-233-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311895",
            "telephone_number": "210-233-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U7432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.