Active NPI
Charles P Andrews, M.D.
- Pulmonary Disease Physician
- San Antonio, TX
National Provider Identifier
1467459578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- E4177
- Practice address
- 4410 Medical Dr
Suite 320
San Antonio, TX 78229-6306 - Phone
- (210) 614-2100
- Fax
- (210) 692-1999
- NPI assigned
- Jul 5, 2005
- Last updated
- Jan 22, 2014
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | E4177 | TX | Primary |
Addresses
Primary practice location
4410 Medical Dr
Suite 320
San Antonio, TX 78229-6306
Mailing address
4410 Medical Dr
Suite 320
San Antonio, TX 78229-6306
Phone (210) 614-2100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AW547 | Other | TX | BLUE CROSS |
| 110202201 | Medicaid | TX | |
| 827083104 | Other | TX | RAILROAD MEDICARE |
| 110202205 | Medicaid | TX | |
| 7422225337822902 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Charles P. Andrews, M.D., P.A.
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1841628005
-
- Specialist
- San Antonio, TX
- NPI 1912191552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1467459578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR",
"address_2": "SUITE 320",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296306",
"telephone_number": "210-614-2100",
"fax_number": "210-692-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR",
"address_2": "SUITE 320",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296306",
"telephone_number": "210-614-2100",
"fax_number": "210-692-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "CHARLES",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "E4177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8AW547",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110202201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "827083104",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110202205",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7422225337822902",
"state": "IL"
}
],
"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 Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.