Individual provider Active NPI

Charles Allan Sibley, MD

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1356649206
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
T2983 Issued in TX
Practice address
3551 Roger Brooke Dr
Dept of Anesthesia
San Antonio, TX 78234-7823
Phone
(210) 723-9750
NPI assigned
Mar 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X T2983 TX Primary
Anesthesiology Physician 207L00000X 0101252987 VA
Anesthesiology Physician 207L00000X 76183 GA
General Practice Physician 208D00000X 0101252987 VA

Addresses

Primary practice location

3551 Roger Brooke Dr
Dept of Anesthesia
San Antonio, TX 78234-7823

Mailing address

3551 Roger Brooke Dr
Dept of Anesthesia
San Antonio, TX 78234-5741
Phone (210) 723-9750

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
I20220221001035 TX Practitioner - Anesthesiology 7113311903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Anesthesia Partners PLLCGroup PAC ID 4880072636, 58 clinicians

Practice addresses (Care Compare)

423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000

5106 W Loop 1604
San Antonio, TX 78251-4408
Phone (726) 243-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76183GAMDAnesthesiology Physician
0101252987VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Anesthesia Partners PLLC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients

Locations

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

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

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

21 Spurs Ln
Ste SL-100
San Antonio, TX 78240
Phone (210) 575-5700

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

Organizations & group practices 3

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 3

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1356649206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782345741",
            "telephone_number": "210-723-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782347823",
            "telephone_number": "210-723-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "CHARLES",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2023-05-24",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "T2983",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101252987",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "76183",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101252987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.