ROSEMARIA GENNUSO MD NPI 1093771297

NPI Information

NPI: 1093771297
Provider Name: ROSEMARIA GENNUSO, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
4410 MEDICAL DR
STE 540
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 575-6240
Get Directions

Rosemaria Gennuso, MD is a pediatric surgery surgery in San Antonio, TX. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Rosemaria Gennuso, MD NPI is 1093771297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4410 MEDICAL DR
STE 540
SAN ANTONIO, TX
ZIP 78229-306
Phone: (210) 575-6240
Fax: (210) 575-6280

The NPI 1093771297 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 1/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207T00000X	Neurological Surgery		M0411	TEXAS	No
2	208000000X	Pediatrics		M0411	TEXAS	No
3	2086S0102X	Surgery	Surgical Critical Care	M0411	TEXAS	No
4	2086X0206X	Surgery	Surgical Oncology	M0411	TEXAS	No
5	2086S0120X	Surgery	Pediatric Surgery	M0411	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8BX390	OTHER		BCBS TX
2	178202105	MEDICAID	TEXAS
3	178202106	OTHER	TEXAS	CSHCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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