Individual provider Active NPI

Frederic Daniel Wile, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1235113739
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M0968 Issued in TX
Practice address
45 NE Loop 410
Suite 900
San Antonio, TX 78216-5832
Phone
(210) 375-7760
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M0968 TX Primary

Addresses

Primary practice location

45 NE Loop 410
Suite 900
San Antonio, TX 78216-5832

Mailing address

45 N.E. Loop 410 #900
San Antonio, TX 78216

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
I20050314000644 TX Practitioner - Anesthesiology 5799730685 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Stanford University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Anesthesia Group PLLCGroup PAC ID 9931411022, 17 clinicians

Practice addresses (Care Compare)

7909 Fredericksburg Rd
Suite 222
San Antonio, TX 78229-3400
Phone (210) 581-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0968TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Sep 3, 2019 Accepting new patients
South Texas Anesthesia Group PLLC Anesthesiology CurrentSince Aug 15, 2022 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Oct 1, 2021 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 20, 2017 Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Sep 3, 2019 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 20, 2017 Accepting new patients

Locations

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

7909 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 437-0884

7909 Fredericksburg Rd
Ste 222
San Antonio, TX 78229
Phone (210) 581-5900

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1235113739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N.E. LOOP 410 #900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410",
            "address_2": "SUITE 900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165832",
            "telephone_number": "210-375-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILE",
        "first_name": "FREDERIC",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M0968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.