Wesley K Greydanus, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00024790 Issued in WA

Practice address

16607 Blanco Rd
Suite #603
San Antonio, TX 78232-1941

Phone

(210) 485-1850

Fax

(210) 493-9500

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

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 2

Specialty

Anesthesiology

Education

Medical College of Wisconsin, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Texas Anesthesia Group PLLCGroup PAC ID 9931411022, 17 clinicians

Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wkgreydanus@direct.anthc.org

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.

• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897
  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952
  Medicare reassignment Care Compare group NPD
• South Texas Anesthesia Group PLLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1427435387
  Medicare reassignment Care Compare group
• Champion Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1649676024
  Medicare reassignment NPD
• Lone Star Anesthesia Partners PLLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1124760996
  Medicare reassignment NPD
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610
  Medicare reassignment NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Cascade Hernia and Surgical Solutions PS

  • Surgery Physician
  • Puyallup, WA
  • NPI 1174725402
  Medicare reassignment NPD
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC

  • Anesthesiology Physician
  • Richland, WA
  • NPI 1013940253
  Medicare reassignment NPD
• Cascade Hernia and Surgical Solutions PS

  • Surgery Physician
  • Puyallup, WA
  • NPI 1477616936
  NPD
• Plaza Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1699927475
  NPD (past)
• Pacific Anesthesia PC

  • Anesthesiology Physician
  • Tacoma, WA
  • NPI 1497796452
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Healthcare Group, LTD.

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1366470353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2408",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982408",
            "telephone_number": "210-485-1850",
            "fax_number": "210-493-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD",
            "address_2": "SUITE #603",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321941",
            "telephone_number": "210-485-1850",
            "fax_number": "210-493-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREYDANUS",
        "first_name": "WESLEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00024790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S REGENCE 90",
            "identifier": "GR3666",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037654",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "50101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Ryan Gresham, DDS
• Nathan Joseph Gresores, DO
• Prabhdeep Kaur Grewal, MD
• Taranjit Grewal, OT
• Grey Canyon Family Medicine PA
• Greystar Healthcare Services LLC
• Greystar Healthcare Services LLC
• Greystar Healthcare Services LLC
• Andrew Nicholas Grgurevic, PA
• Aaron Bryan Gribble, LVN

• Anesthesiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.