DR. AUSTIN GOZIAM ENENMOH (MD) – Urology Physician, NPI 1184284853

DR. AUSTIN GOZIAM ENENMOH (MD) is a healthcare provider. based in San antonio, Texas. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. V0388 (TX). The NPI Number for DR. AUSTIN GOZIAM ENENMOH (MD) is 1184284853

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. AUSTIN GOZIAM ENENMOH (MD)
NPI
1184284853
Phone
(972) 832-4686
Address
7914 ROANOKE RUN UNIT 24
Enumeration Date
16 June 2019
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8663678768
Graduation Year
2019 (7 years ago)
PAC ID
9638618515
Group Practice PAC ID
7315283454
Professional Enrollment ID
I20240822003665
Address ID
TX760865892WE945XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

861 UROLOGY in TX

Provider Addresses for DR. AUSTIN GOZIAM ENENMOH (MD)

  • 7914 ROANOKE RUN UNIT 24

    SAN ANTONIO, TX 782405248

    Phone: (972) 832-4686

    Type: Mailing

  • 4502 MEDICAL DR

    SAN ANTONIO, TX 782294402

    Phone: (972) 832-4686

    Type: Location

  • 7909 FREDERICKSBURG RD STE 110

    SAN ANTONIO, TX 782293400

    Phone: (106) 144-5442

    Fax: (210) 679-3724

    Type: Mailing

  • 7909 FREDERICKSBURG RD STE 125

    SAN ANTONIO, TX 782293448

    Phone: (210) 614-4544

    Fax: (210) 679-3712

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,501.

Total Amount is formed as General ($1,501) + Research ($0) + Ownership ($0) = $1,501.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Medtronic, Inc. ($1,003).

Total Amount

$1,501

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,501

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240822003665IUrologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315283454View full group profile
NameSpecialtyState
U R O L O G YTX
U R O L O G YCO
U R O L O G YTX
U R O L O G YTX
U R O L O G YTX
Nurse PractitionerTX
Physician AssistantFL
Interventional RadiologyTX
Radiation OncologyTX
U R O L O G YTX

Reviews

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Frequently asked questions

Is DR. AUSTIN GOZIAM ENENMOH (MD) listed with a National Provider Identifier?
Yes — DR. AUSTIN GOZIAM ENENMOH (MD) has NPI 1184284853 on file in the registry.
Is DR. AUSTIN GOZIAM ENENMOH (MD) still an active registrant?
DR. AUSTIN GOZIAM ENENMOH (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. AUSTIN GOZIAM ENENMOH (MD)'s focus?
For DR. AUSTIN GOZIAM ENENMOH (MD), the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Is DR. AUSTIN GOZIAM ENENMOH (MD) located near San Antonio?
DR. AUSTIN GOZIAM ENENMOH (MD) currently maps to San Antonio, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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