Organization Active NPI

Wellmed Medical Group, P.a.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1245538529
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLMED MEDICAL GROUP, P.A.
Practice address
19500 Ih 10 W
Ms 1-5030 Attn License and Regulatory
San Antonio, TX 78257-9509
Phone
(210) 617-4706
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Kristina Nyiri
Title
Sr. Dir License and Regulatory
Phone
(210) 850-6272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

19500 Ih 10 W
Ms 1-5030 Attn License and Regulatory
San Antonio, TX 78257-9509

Mailing address

19500 Ih 10 W
Ms 1-5030 Attn: License and Regulatory
San Antonio, TX 78257-9509

Other names 2

  • Care Coach Connect Doing business as
  • WellMed at Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000519 TX Part B Supplier - Clinic/Group Practice 4880657386 Receives reassigned benefits from 880 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1245538529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 IH 10 W",
            "address_2": "MS 1-5030 ATTN: LICENSE AND REGULATORY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 IH 10 W",
            "address_2": "MS 1-5030 ATTN LICENSE AND REGULATORY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579509",
            "telephone_number": "210-617-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMED MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "NYIRI",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "SR. DIR LICENSE AND REGULATORY",
        "authorized_official_telephone_number": "210-850-6272"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Coach Connect",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellMed at Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.