William Alec Tisdall, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

M5545 Issued in TX

Practice address

1919 Rogers Rd
Suite 204
San Antonio, TX 78251-4614

Phone

(210) 541-0700

Fax

(210) 541-6868

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

University of Washington School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

William a. Tisdall, M.D., P.a.Group PAC ID 2860517877, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.65 of 100Reported as group

Quality

95

Improvement activities

40

Cost

72.16

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.tisdall@1339.chartlogic.direct-ci.com

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.

• William a. Tisdall, M.D., P.a.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1598085243
  Medicare reassignment Care Compare group NPD Authorized official
• Westover Anesthesia Services PLLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1578005450
  Medicare reassignment NPD Authorized official
• William a. Tisdall, M.D., P.a.

  • Interventional Pain Medicine Physician
  • Schertz, TX
  • NPI 1083126742
  NPD Authorized official
• Comfort Surgery Center of San Antonio LLC

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1669945358
  NPD
• Stone Oak Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1407144132
  NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1124153754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 ROGERS RD",
            "address_2": "SUITE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514614",
            "telephone_number": "210-541-0700",
            "fax_number": "210-541-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ROGERS RD",
            "address_2": "SUITE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514614",
            "telephone_number": "210-541-0700",
            "fax_number": "210-541-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISDALL",
        "first_name": "WILLIAM",
        "middle_name": "ALEC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M5545",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "M5545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192493602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8CK977",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Tirbeni, M.D.
• Hazel A Tiru, RN BSN
• Glen Edward Tisdale, LPC
• Taylor M Tisdale
• Catherine M Tisdall, MD
• Jackie Tittle
• Christian Joel Adlao Tiu, RN
• Patricia N Tiu, PMHNP
• Nena Tiukinhoy, FNP
• Ankur Tiwari, MBBS

• Interventional Pain Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.