Individual provider Active NPI

Angela Lauren Birdwell, D.O.

  • Pulmonary Disease Physician
  • San Antonio, TX
National Provider Identifier
1043621030
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
S5325 Issued in TX
Practice address
12446 West Ave Ste 2001244
San Antonio, TX 78216-2517
Phone
(210) 656-3600
Fax
(210) 656-3603
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10050795 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X S5325 TX
Pulmonary Disease Physician 207RP1001X S5325 TX Primary

Addresses

Primary practice location

12446 West Ave Ste 2001244
San Antonio, TX 78216-2517

Mailing address

12446 West Ave
Ste 200
San Antonio, TX 78216-2530
Phone (210) 656-3600

Other practice location 1

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-2111

Other identifiers 2

IdentifierTypeStateIssuer
S5325OtherTXTEXAS MEDICAL BOARD
582864OtherTXPHYSICIAN IN TRAINING LICENSE

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
I20200618000483 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3072894161 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9000

Hospital & facility affiliations

  • University Health System Hospital, San Antonio, TX, CCN 450213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5325TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Intensivists, PLLC Critical Care Medicine CurrentSince Mar 19, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Aug 2, 2021 Accepting new patients
Cepamerica Texas PA Critical Care Medicine CurrentSince Aug 1, 2021 Accepting new patients
Leonard E Deal, MD, PA Critical Care Medicine CurrentSince Jun 1, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio Internal Medicine CurrentSince Aug 2, 2021 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 5

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1043621030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162530",
            "telephone_number": "210-656-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE STE 2001244",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162517",
            "telephone_number": "210-656-3600",
            "fax_number": "210-656-3603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRDWELL",
        "first_name": "ANGELA",
        "middle_name": "LAUREN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10050795",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "S5325",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "S5325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "S5325",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING LICENSE",
            "identifier": "582864",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.