Individual provider Active NPI

Lorraine Shirley-Wenzel, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1316934854
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L9481 Issued in TX
Practice address
13409 George Rd
San Antonio, TX 78230-3064
Phone
(210) 492-8922
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 L9481 TX Primary

Addresses

Primary practice location

13409 George Rd
San Antonio, TX 78230-3064

Mailing address

13409 George Rd
San Antonio, TX 78230-3064
Phone (210) 492-8922

Other identifiers 2

IdentifierTypeStateIssuer
177118001MedicaidTX
8J9993OtherTXBCBS

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
I20220823003268 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4789619115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9481TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health by Design Medical Group PastSince Aug 14, 2022 Accepting new patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lorraine.shirleywenzel@160177656168452.direct.elationemr.com
  • Direct secure messaging: lorraine.wenzel@49420620398596.direct.elationemr.com
  • Direct secure messaging: lorraine.shirley-wenzel@160177656168452.direct.elationemr.com

Organizations & group practices 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1316934854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13409 GEORGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303064",
            "telephone_number": "210-492-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13409 GEORGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303064",
            "telephone_number": "210-492-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY-WENZEL",
        "first_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-08-10",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177118001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J9993",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.