Individual provider Active NPI

Andamo A Guillaume, M.D.

  • Otolaryngology Physician
  • San Antonio, TX
National Provider Identifier
1073504312
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
K8186 Issued in TX
Practice address
8715 Village Drive
Suite 618
San Antonio, TX 78217
Phone
(210) 614-5600
Fax
(210) 614-8963
NPI assigned
Nov 4, 2005
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X K8186 TX Primary

Addresses

Primary practice location

8715 Village Drive
Suite 618
San Antonio, TX 78217

Mailing address

19026 Stone Oak Parkway
Suite #220
San Antonio, TX 78258
Phone (210) 614-5600

Other identifiers 1

IdentifierTypeStateIssuer
030716702MedicaidTX

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
I20101210000660 TX Practitioner - Otolaryngology 1759578313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Sinus Institute PLLCGroup PAC ID 5395042436, 4 clinicians

Practice addresses (Care Compare)

9150 Huebner Rd
Suite 280
San Antonio, TX 78240-1545
Phone (210) 225-5666

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8186TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent F Honrubia CurrentSince Aug 1, 2024 Accepting new patients
Alamo ENT Associates Otolaryngology CurrentSince May 1, 2020 Accepting new patients
American Sinus Institute PLLC CurrentSince Jul 10, 2024 Accepting new patients
South Texas Cardiovascular Consultants Past Accepting new patients

Locations

2821 W Michaelangelo Dr
Ste 201
Edinburg, TX 78539
Phone (956) 362-6075

4865 N McColl Rd
McAllen, TX 78504
Phone (956) 661-8200

19026 Stone Oak Pkwy
Ste 110
San Antonio, TX 78258
Phone (210) 545-0404

19026 Stone Oak Pkwy
Ste 220
San Antonio, TX 78258

7940 Floyd Curl Dr
Ste 400
San Antonio, TX 78229
Phone (210) 616-0096

8715 Village Dr
Ste 618
San Antonio, TX 78217
Phone (210) 614-5600

9150 Huebner Rd
Ste 280
San Antonio, TX 78240
Phone (210) 225-5666

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1073504312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19026 STONE OAK PARKWAY",
            "address_2": "SUITE #220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-614-5600",
            "fax_number": "210-614-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DRIVE",
            "address_2": "SUITE 618",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-614-5600",
            "fax_number": "210-614-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUME",
        "first_name": "ANDAMO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "K8186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030716702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.