Active NPI
Andrea N. Keithler, D.O.
- Clinical Cardiac Electrophysiology Physician
- Jbsa Ft Sam Houston, TX
National Provider Identifier
1285094482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- V8660
- Practice address
- 3551 Roger Brooke Dr
San Antonio Military Medical Center, McHe-ZDM-M
Jbsa Ft Sam Houston, TX 78234-4504 - Phone
- (210) 292-5077
- Fax
- (210) 292-7868
- NPI assigned
- Mar 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | V8660 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
San Antonio Military Medical Center, McHe-ZDM-M
Jbsa Ft Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Other names 1
- Andrea Dore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230424002964 | UT | Order and Referring Only - Internal Medicine | 2062877145 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V8660 | TX | MD | Clinical Cardiac Electrophysiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1285094482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782344504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"address_2": "SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-292-5077",
"fax_number": "210-292-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITHLER",
"first_name": "ANDREA",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-01",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "V8660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "DORE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jbsa Ft Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.