DR. VANESSA EUGENIA DURAN M.D.
NPI 1659640977
Emergency Medicine in Fredericksburg, TX
About Dr. Vanessa Eugenia Duran M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VANESSA EUGENIA DURAN M.D. (NPI 1659640977) is an individual emergency medicine provider in Fredericksburg, Texas, licensed in New York (278740) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Vanessa Eugenia Duran M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Vanessa Duran reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Killeen, TX 76549
- Reassigned Medicare billing, Texas enrollment
- 387 clinicians in this Medicare group
Bonham, TX 75418
- Reassigned Medicare billing, Texas enrollment
- 48 clinicians in this Medicare group
Plainview, TX 79072
- Reassigned Medicare billing, Texas enrollment
- 217 clinicians in this Medicare group
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 239 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Virginia enrollment
- 679 clinicians in this Medicare group
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Oakdale, CA 95361
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sound Physicians Emergency Medicine Of Southern California PC
- 36 clinicians in this Medicare group
Rockville, MD 20850
- Reassigned Medicare billing, Virginia enrollment
- 158 clinicians in this Medicare group
Brooklyn, NY 11213
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Interfaith Emergency Medicine PC
- 145 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Central Texas
Acute Care Hospitals · Killeen, TXTmc- Bonham Hospital
Critical Access Hospitals · Bonham, TXHenrico Doctors' Hospital
Acute Care Hospitals · Richmond, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FREDERICKSBURG, TX 78624
FREDERICKSBURG, TX 78624
FREDERICKSBURG, TX 78624
FREDERICKSBURG, TX 78624
FREDERICKSBURG, TX 78624
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 Vanessa Duran's NPI number?
The NPI number for Vanessa Duran is 1659640977. It was assigned to this individual provider in the NPPES registry on December 14, 2011.
Where is Vanessa Duran located?
Vanessa Duran practices at 1020 S State Highway 16, Fredericksburg, TX 78624. The listed phone number is (830) 997-4353.
What is Vanessa Duran's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Vanessa Duran enrolled in Medicare?
Yes. Vanessa Duran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Vanessa Duran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Duran reassigns Medicare benefits to 10 organizations: Sound Physicians Emergency Medicine Of Texas PLLC (Killeen, TX), Hospitalist Medicine Physicians Of Texas - Cypress PLLC (Bonham, TX), Hospitalist Medicine Physicians Of Texas - Houston, PLLC (Plainview, TX), Sound Physicians Emergency Medicine Of Arizona, Inc. (Sierra Vista, AZ), Emergency Coverage, LLC (Newport, TN) and 5 more organizations, listed in the Medicare section above. Each 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 Vanessa Duran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vanessa Duran accept?
Health plans from Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Texas list Vanessa Duran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Vanessa Duran affiliated with any hospitals?
According to CMS data, Vanessa Duran is affiliated with Adventhealth Central Texas, Tmc- Bonham Hospital and Henrico Doctors' Hospital.
When was this NPI record last updated?
The NPPES record for Vanessa Duran was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Vanessa Eugenia Duran, M.D. · NPI 1659640977
Emergency Medicine physician in Fredericksburg, Texas. Individual provider, active in the CMS NPPES registry since December 14, 2011.
## Identity
- **NPI:** 1659640977 (Entity type: Individual)
- **Enumerated:** December 14, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 278740 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1020 S STATE HIGHWAY 16, Fredericksburg, TX 78624-4471
- **Phone:** (830) 997-4353
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Sound Physicians Emergency Medicine Of Texas PLLC (NPI 1518475557, Killeen, TX); Hospitalist Medicine Physicians Of Texas - Cypress PLLC (NPI 1184458838, Bonham, TX); Hospitalist Medicine Physicians Of Texas - Houston, PLLC (NPI 1760028740, Plainview, TX); Sound Physicians Emergency Medicine Of Arizona, Inc. (NPI 1700328663, Sierra Vista, AZ); Emergency Coverage, LLC (NPI 1427005008, Newport, TN); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** August 6, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1659640977) · Data from the CMS NPPES public registry.