Individual provider Active NPI

Ana Maria Vidal, MD

  • Internal Medicine Physician
  • League City, TX
National Provider Identifier
1124187570
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3515 Issued in TX
Practice address
2660 Gulf Fwy S Ste 6
League City, TX 77573-6820
Phone
(832) 505-2250
Fax
(281) 337-0816
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3515 TX Primary

Addresses

Primary practice location

2660 Gulf Fwy S Ste 6
League City, TX 77573-6820

Mailing address

780 Clear Lake City Blvd BLDG 2
Webster, TX 77598-5500
Phone (281) 464-8988

Other practice location 1

780 Clear Lake City Blvd Bldg 2
Webster, TX 77598-5500
Phone (281) 464-8988

Other identifiers 1

IdentifierTypeStateIssuer
149251403MedicaidTX

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
I20040730000878 TX Practitioner - Internal Medicine 5890765291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2660 Gulf Fwy S
Suite 6
League City, TX 77573-6820
Phone (832) 505-2250

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

780 Clear Lake City Blvd
Webster, TX 77598-5500
Phone (281) 464-8988

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3515TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine Current Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jan 28, 2021 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jan 28, 2021 Accepting new patients
Upright MRI of Clearlake LLC Past Accepting new patients

Locations

1315 St Joseph Pkwy
Ste 1309
Houston, TX 77002
Phone (832) 366-1305

6969 Gulf Fwy
Ste 200B
Houston, TX 77087
Phone (713) 643-0012

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

780 Clear Lake City Blvd
Bldg 2
Webster, TX 77598
Phone (281) 464-8988

Interoperability endpoints

  • Direct secure messaging: ana.vidal@wellmed.eclinicaldirectplus.com

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 7

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1124187570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CLEAR LAKE CITY BLVD BLDG 2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985500",
            "telephone_number": "281-464-8988",
            "fax_number": "281-464-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 GULF FWY S STE 6",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736820",
            "telephone_number": "832-505-2250",
            "fax_number": "281-337-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Clear Lake City Blvd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775985500",
            "country_code": "US",
            "telephone_number": "281-464-8988",
            "fax_number": "281-464-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149251403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.