DR. CHARLENE DEKONENKO M.D.
NPI 1144615162
Surgery - Pediatric Surgery in San Antonio, TX

Q: What is Charlene Dekonenko's NPI number?

The NPI number for Charlene Dekonenko is 1144615162. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Q: What is Charlene Dekonenko's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Active since April 06, 2015PECOS Enrolled

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Charlene Dekonenko M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLENE DEKONENKO M.D. (NPI 1144615162) is an individual pediatric surgery provider in San Antonio, Texas, licensed in Texas (V3277) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1144615162

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameDR. CHARLENE DEKONENKOCredential: M.D.

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address3901 Rainbow Blvd, M/s #2005Kansas City, KS 66160-8500 · (913) 588-6124

Phone(210) 704-3030

Sole ProprietorYes

Enumeration DateApril 6, 2015

Last NPPES UpdateAugust 19, 2024

NPPES CertifiedAugust 19, 2024

✔ NPI 1144615162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in TX · V3277

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License V3277 (TX)

333 N SANTA ROSA, San Antonio, TX 78207

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Secondary Practice Location 1

Location 13901 Rainbow Blvd, M/S #2005Kansas City, KS 66160-8500 · Phone (913) 588-6124

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charlene Dekonenko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)