Individual provider Active NPI

Megan Rose-Lee Williams Khmelev, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1174722383
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1222 Issued in TX
Practice address
6496 N New Braunfels Ave
San Antonio, TX 78209-3827
Phone
(210) 930-4500
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N1222 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X BP1-0029850 TX

Addresses

Primary practice location

6496 N New Braunfels Ave
San Antonio, TX 78209-3827

Mailing address

9150 Huebner Rd Ste 160
San Antonio, TX 78240-1545
Phone (210) 960-2639

Other practice location 1

9150 Huebner Rd Ste 160
San Antonio, TX 78240-1545
Phone (210) 960-2639

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwilliamskhmelev@complete.care Direct

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
I20090219000189 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0547325953 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

200 S Interstate 35
Pearsall, TX 78061-6601
Phone (830) 334-3617

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0029850TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Frio Hospital Association CurrentSince Nov 11, 2019 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
Cec Alamo Heights ER Physicians PLLC CurrentSince Jan 27, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 31, 2024 Accepting new patients
C H Wilkinson Physician Network CurrentSince Sep 15, 2014 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Sep 15, 2014 Accepting new patients
Frio Hospital Association CurrentSince Nov 11, 2019 Accepting new patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients
Alamo Heights Complete Care LLC Past Accepting new patients
Complete Emergency Care la Vernia LLC Past Accepting new patients
The Emergency Clinic of Floresville, LLC Past Accepting new patients
2013 Broadway Emergency Care LLC Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

6496 N New Braunfels Ave
San Antonio, TX 78209
Phone (210) 930-4500

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1174722383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401545",
            "telephone_number": "210-960-2639",
            "fax_number": "210-845-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6496 N NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093827",
            "telephone_number": "210-930-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Huebner Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401545",
            "country_code": "US",
            "telephone_number": "210-960-2639",
            "fax_number": "210-845-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS KHMELEV",
        "first_name": "MEGAN",
        "middle_name": "ROSE-LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1222",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP1-0029850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilliamskhmelev@complete.care",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6496 N New Braunfels Ave",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782093827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.