DR. AUSTIN GOZIAM ENENMOH (MD) – Urology Physician, NPI 1184284853
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,003 |
| Teleflex LLC | $262 |
| COLOPLAST CORP | $186 |
| Ambu Inc. | $50 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240822003665 | I | Urology | TX | TBD |
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.
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
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| U R O L O G Y | CO | |
| U R O L O G Y | TX | |
| U R O L O G Y | TX | |
| U R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | FL | |
| Interventional Radiology | TX | |
| Radiation Oncology | TX | |
| U R O L O G Y | TX |
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