Individual provider Active NPI

Nilto C De Oliveira, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1376507939
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
47576 Issued in TX
Practice address
4410 Medical Dr Ste 420
San Antonio, TX 78229-3749
Phone
(210) 575-5462
Fax
(210) 510-6365
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 47576 TX
Internal Medicine Physician 207R00000X 47576 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 47576 TX Primary

Addresses

Primary practice location

4410 Medical Dr Ste 420
San Antonio, TX 78229-3749

Mailing address

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-6900

Other practice location 1

7726 Louis Pasteur Dr
San Antonio, TX 78229-3402
Phone (210) 575-8485

Other identifiers 1

IdentifierTypeStateIssuer
1376507939MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050323000789 WI Practitioner - General SurgeryPractitioner - Cardiac SurgeryPractitioner - Adult Congenital Heart Disease (Achd) 4284680232 Reassigns benefits to 1 organization
I20230705001810 WI Practitioner - Cardiac Surgery 4284680232 Reassigns benefits to 1 organization
I20240221000533 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 4284680232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

4411 Medical Dr
San Antonio, TX 78229-3824

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

7726 Louis Pasteur Dr
San Antonio, TX 78229-3402
Phone (210) 575-8485

7726 Louis Pasteur Dr
San Antonio, TX 78229-3975
Phone (210) 614-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47576TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 15, 2023 Accepting new patients
Methodist Physician Practices, PLLC Transplant Surgery CurrentSince Apr 1, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. Transplant Surgery CurrentSince Feb 1, 2021 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Cardiology Clinic of San Antonio, PLLC CurrentSince Oct 1, 2025 Accepting new patients
San Antonio Cardiology Clinic PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

4410 Medical Dr
Ste 420
San Antonio, TX 78229
Phone (210) 575-5000

7726 Louis Pasteur Dr
San Antonio, TX 78229
Phone (210) 575-3327

4411 Medical Dr
Ste 210
San Antonio, TX 78229
Phone (210) 615-7700

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1376507939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-955-6900",
            "fax_number": "414-955-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR STE 420",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293749",
            "telephone_number": "210-575-5462",
            "fax_number": "210-510-6365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7726 Louis Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293402",
            "country_code": "US",
            "telephone_number": "210-575-8485",
            "fax_number": "210-575-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE OLIVEIRA",
        "first_name": "NILTO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "47576",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "47576",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "47576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376507939",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.