Individual provider Active NPI

Shannon M. Geddes-Stowe, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1194962027
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N4422 Issued in TX
Practice address
4330 Medical Dr
Ste 500
San Antonio, TX 78229-3342
Phone
(210) 576-5306
Fax
(210) 694-0645
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 N4422 TX Primary

Addresses

Primary practice location

4330 Medical Dr
Ste 500
San Antonio, TX 78229-3342

Mailing address

4330 Medical Dr
Ste 500
San Antonio, TX 78229-3342
Phone (210) 576-5306

Other identifiers 3

IdentifierTypeStateIssuer
208049102MedicaidTX
TXB150291OtherWELLMED MEDICAL GROUP PA
262798YLUPOtherTXWELLMED NETWORKS INC

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
I20091230000342 TX Practitioner - Internal Medicine 5496896292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Care Medical AssociatesGroup PAC ID 5698029882, 39 clinicians
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

12446 W Ave
Suite 200
San Antonio, TX 78216-2530
Phone (210) 525-1668

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4422TXMDInternal Medicine Physician
TEMPORARYTXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Wellmed Networks, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Complete Care Medical Associates CurrentSince Apr 6, 2024 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Locations

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

12446 West Ave
Ste 256
San Antonio, TX 78216

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

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

Interoperability endpoints

  • Direct secure messaging: shannon.geddessilva@wellmed.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1194962027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR",
            "address_2": "STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293342",
            "telephone_number": "210-576-5306",
            "fax_number": "210-694-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR",
            "address_2": "STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293342",
            "telephone_number": "210-576-5306",
            "fax_number": "210-694-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDES-STOWE",
        "first_name": "SHANNON",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208049102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "TXB150291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED NETWORKS INC",
            "identifier": "262798YLUP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.