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DR. DENISE ELIZONDO MD
NPI 1407289200
Family Medicine in San Antonio, TX

Active since August 15, 2013PECOS Enrolled
13423 BLANCO RD # 839, SAN ANTONIO, TX 78216(956) 330-1776 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2025, Oct 28, 2022, Jul 13, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Denise Elizondo Md NPPES

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

DR. DENISE ELIZONDO MD (NPI 1407289200) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (T8524) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407289200
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DENISE ELIZONDOCredential: MD
Location Address13423 BLANCO RD # 839San Antonio, TX 78216-2187
Mailing Address13423 Blanco Rd # 839San Antonio, TX 78216-2187 · (956) 330-1776
Phone(956) 330-1776
Sole ProprietorNo
Enumeration DateAugust 15, 2013
Last NPPES UpdateAugust 27, 20256 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1407289200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T8524
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13423 BLANCO RD # 839, San Antonio, TX 78216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Denise Elizondo Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Denise Elizondo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeshore Medical Clinic Ltd
1,094 mi
Family Medicine
1100 MILWAUKEE AVE
South Milwaukee, WI 53172
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1174851893 (414) 764-4003

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denise Elizondo's NPI number?

The NPI number for Denise Elizondo is 1407289200. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Denise Elizondo located?

Denise Elizondo practices at 13423 Blanco Rd # 839, San Antonio, TX 78216. The listed phone number is (956) 330-1776.

What is Denise Elizondo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Denise Elizondo enrolled in Medicare?

Yes. Denise Elizondo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denise Elizondo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Elizondo reassigns Medicare benefits to Lakeshore Medical Clinic Ltd (South Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Elizondo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denise Elizondo was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.