Individual provider Active NPI

Donald David Dilworth, M.D.

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1023064524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K2893 Issued in TX
Practice address
8715 Village Dr
Suite 608
San Antonio, TX 78217-5405
Phone
(210) 657-2100
Fax
(210) 675-2110
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K2893 TX Primary

Addresses

Primary practice location

8715 Village Dr
Suite 608
San Antonio, TX 78217-5405

Mailing address

8715 Village Dr
Suite 608
San Antonio, TX 78217-5405
Phone (210) 657-2100

Other identifiers 1

IdentifierTypeStateIssuer
106014701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000576 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 0345133872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

8715 Village Dr
San Antonio, TX 78217-5405
Phone (210) 657-2100

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)30
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2893TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Sep 1, 2011 Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 1, 2011 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

525 Oak Centre Dr
Ste 350
San Antonio, TX 78258
Phone (210) 297-4560

8715 Village Dr
Ste 305
San Antonio, TX 78217
Phone (210) 590-1018

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8715 Village Dr
San Antonio, TX 78217
Phone (210) 297-2550

540 Madison Oak Dr
Ste 310
San Antonio, TX 78258

8715 Village Dr
Ste 608
San Antonio, TX 78217
Phone (210) 298-4311

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

16977 Interstate 35 N
Ste 280
Schertz, TX 78154

Interoperability endpoints

  • Direct secure messaging: donald.dilworth.1@1438.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023064524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR",
            "address_2": "SUITE 608",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175405",
            "telephone_number": "210-657-2100",
            "fax_number": "210-675-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR",
            "address_2": "SUITE 608",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175405",
            "telephone_number": "210-657-2100",
            "fax_number": "210-675-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILWORTH",
        "first_name": "DONALD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K2893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106014701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.