DR. NICHOLAS ROBERT TENEYUQUE (M.D.) – Obstetrics & Gynecology Physician, NPI 1790002376

DR. NICHOLAS ROBERT TENEYUQUE (M.D.) is a healthcare provider. based in Fort sam houston, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 26722 (NE). The NPI Number for DR. NICHOLAS ROBERT TENEYUQUE (M.D.) is 1790002376

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS ROBERT TENEYUQUE (M.D.)
NPI
1790002376
Phone
(102) 916-1598
Address
3551 ROGER BROOKE DR
Enumeration Date
22 April 2010
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202315000
Graduation Year
2010 (16 years ago)
PAC ID
4688056682
Group Practice PAC ID
8426457946
Professional Enrollment ID
I20231122003013
Address ID
MN562013556WI101XXSWXX400

Contacts

Secure Messaging
nteneyuque772535@direct.centracare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for DR. NICHOLAS ROBERT TENEYUQUE (M.D.)

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (102) 916-1598

    Type: Mailing

  • 712 WHITE HAWK TRL

    HARKER HEIGHTS, TX 765482430

    Phone: (612) 598-4324

    Type: Mailing

  • 36000 DARNALL LOOP

    FORT HOOD, TX 765445095

    Phone: (612) 598-4324

    Type: Location

  • 36000 Darnall Loop

    Fort Hood, TX 765445095

    Phone: (612) 598-4324

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220808003135IObstetrics/GynecologyTXTBD
I20231122003013IObstetrics/GynecologyMNTBD

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 78234)

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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: 8426457946View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Physical Therapist In Private PracticeMN
Family PracticeMN
N E U R O L O G YMN
Nurse PractitionerMN
Internal MedicineMN
General SurgeryMN
O B S T E T R I C S/ G Y N E C O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for DR. NICHOLAS ROBERT TENEYUQUE (M.D.) in the U.S.?
In the U.S., DR. NICHOLAS ROBERT TENEYUQUE (M.D.) is identified by NPI 1790002376.
Should I treat DR. NICHOLAS ROBERT TENEYUQUE (M.D.) as an active provider?
Patients and plans typically see DR. NICHOLAS ROBERT TENEYUQUE (M.D.) as active in the national extract.
Which specialty label fits DR. NICHOLAS ROBERT TENEYUQUE (M.D.)?
NPPES ties DR. NICHOLAS ROBERT TENEYUQUE (M.D.) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. NICHOLAS ROBERT TENEYUQUE (M.D.) tied to Fort Sam Houston, Texas?
If you are local to Fort Sam Houston, Texas, DR. NICHOLAS ROBERT TENEYUQUE (M.D.) may be relevant to your search.
Can I export DR. NICHOLAS ROBERT TENEYUQUE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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