Individual provider Active NPI

Jessica Nicole Dunn, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1992143804
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R0152 Issued in TX
Practice address
4410 Medical Dr Ste 100
San Antonio, TX 78229-3737
Phone
(210) 614-4000
Fax
(210) 616-0449
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R0152 TX Primary

Addresses

Primary practice location

4410 Medical Dr Ste 100
San Antonio, TX 78229-3737

Mailing address

4410 Medical Dr Ste 100
San Antonio, TX 78229-3737
Phone (210) 614-4000

Other identifiers 3

IdentifierTypeStateIssuer
8GH189OtherTXBCBS
367081201MedicaidTX
544331YLLWOtherTXMEDICARE

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
I20161212000322 TX Practitioner - Internal Medicine 7416256565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Pasteur Medical Associates PA 7 clinicians

Practice addresses (Care Compare)

4410 Medical Dr
Suite 100
San Antonio, TX 78229-3737
Phone (210) 614-4000

Hospital & facility affiliations

  • Crest Home Health Home health agency, Boerne, TX, CCN 673124

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pasteur Medical Associates PA Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients

Locations

4410 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (210) 614-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHHBA
  • Direct secure messaging: jessica.vazquez@hca7.eclinicaldirectplus.com

Organizations & group practices 1

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 1

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1992143804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293737",
            "telephone_number": "210-614-4000",
            "fax_number": "210-616-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293737",
            "telephone_number": "210-614-4000",
            "fax_number": "210-616-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R0152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GH189",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367081201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "544331YLLW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.