Active NPI
Roger Willis, M.D.
- Emergency Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L0702
- Practice address
- 8026 Floyd Curl
San Antonio, TX 78229-3915 - Phone
- (210) 558-6288
- Fax
- (210) 558-6289
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L0702 | TX | Primary |
Addresses
Primary practice location
8026 Floyd Curl
San Antonio, TX 78229-3915
Mailing address
PO Box 2099
San Antonio, TX 78297-2099
Phone (210) 558-6288
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.72 of 100
- Quality
- 91.03
- Improvement activities
- 40
- Cost
- 86.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0702 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Victoria Emergency Partners LLC | Emergency Medicine | Current | Accepting new patients |
| Lone Star Emergency Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Gonzales Emergency Partners, PLLC | Emergency Medicine | Current | Accepting new patients |
| Impact Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955
1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321
Interoperability endpoints
- smmrwilli@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1346924008
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1457709040
-
- Emergency Medicine Physician
- Cuero, TX
- NPI 1699288811
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1356396204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1386683423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2099",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782972099",
"telephone_number": "210-558-6288",
"fax_number": "210-558-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8026 FLOYD CURL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293915",
"telephone_number": "210-558-6288",
"fax_number": "210-558-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "ROGER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L0702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.