Individual provider Active NPI

Wyatt Joseph Weinheimer, M.D.

  • Otolaryngology Physician
  • Amarillo, TX
National Provider Identifier
1235499534
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R1151 Issued in TX
Practice address
6830 Plum Creek Dr
Amarillo, TX 79124-1601
Phone
(806) 355-9999
Fax
(806) 355-9989
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X R1151 TX Primary

Addresses

Primary practice location

6830 Plum Creek Dr
Amarillo, TX 79124-1601

Mailing address

6830 Plum Creek Dr
Amarillo, TX 79124-1601
Phone (806) 355-9999

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other identifiers 1

IdentifierTypeStateIssuer
261141669OtherTXTAX ID

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
I20170626001281 TX Practitioner - Otolaryngology 5496048076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Quail Creek Ear, Nose and Throat Center LLPGroup PAC ID 3476632324, 5 clinicians

Practice addresses (Care Compare)

6830 Plum Creek Dr
Amarillo, TX 79124-1601
Phone (806) 355-9999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quail Creek Ear, Nose & Throat Center LLP Otolaryngology CurrentSince Aug 1, 2017 Accepting new patients

Locations

6826 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 322-3000

6830 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 355-9999

Interoperability endpoints

  • Direct secure messaging: wweinheimer86298@ahs.direct-ci.com

Organizations & group practices 1

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 2

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1235499534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 PLUM CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241601",
            "telephone_number": "806-355-9999",
            "fax_number": "806-355-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 PLUM CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241601",
            "telephone_number": "806-355-9999",
            "fax_number": "806-355-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINHEIMER",
        "first_name": "WYATT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "R1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "261141669",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.