Individual provider Active NPI

David Carlos Cadena Jr., M.D.

  • Family Medicine Physician
  • Boerne, TX
National Provider Identifier
1932595915
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R6754 Issued in TX
Practice address
25723 Old Fredericksburg Rd
Boerne, TX 78015-6605
Phone
(210) 450-6800
Fax
(210) 450-6894
NPI assigned
Apr 7, 2015
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 R6754 TX Primary

Addresses

Primary practice location

25723 Old Fredericksburg Rd
Boerne, TX 78015-6605

Mailing address

25723 Old Fredericksburg Rd
Boerne, TX 78015-6605
Phone (210) 450-6800

Other identifiers 2

IdentifierTypeStateIssuer
384912701MedicaidTX
384912702OtherTXCSHCN

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
I20180604000971 TX Practitioner - Family Practice 3173814084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11212 Hwy 151
San Antonio, TX 78251-4498
Phone (210) 450-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince May 1, 2018 Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine CurrentSince May 1, 2018 Accepting new patients

Locations

25723 Old Fredericksburg Rd
Boerne, TX 78015
Phone (210) 450-6800

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

11212 State Highway 151
Ste 100
San Antonio, TX 78251
Phone (210) 450-9900

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

Interoperability endpoints

  • Direct secure messaging: dcadena16839@direct.utmsa.com

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.

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1932595915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25723 OLD FREDERICKSBURG RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780156605",
            "telephone_number": "210-450-6800",
            "fax_number": "210-450-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25723 OLD FREDERICKSBURG RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780156605",
            "telephone_number": "210-450-6800",
            "fax_number": "210-450-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADENA",
        "first_name": "DAVID",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R6754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384912701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "384912702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.