Individual provider Active NPI

Joel B. Nilsson, MD

  • Orthopaedic Hand Surgery Physician
  • Boerne, TX
National Provider Identifier
1487633384
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
M1985 Issued in TX
Practice address
110 E Bandera Rd
Boerne, TX 78006-2802
Phone
(210) 481-1700
Fax
(210) 481-1705
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X M1985 TX Primary

Addresses

Primary practice location

110 E Bandera Rd
Boerne, TX 78006-2802

Mailing address

411 Ogrady St
Boerne, TX 78006-2506
Phone (210) 288-4423

Other practice location 1

540 Madison Oak Dr Ste 260
San Antonio, TX 78258-3930
Phone (210) 481-1700

Other identifiers 1

IdentifierTypeStateIssuer
352506501MedicaidTX

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
I20090422000072 TX Practitioner - Orthopedic Surgery 6204983646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpha and Omega Orthopedics PLLCGroup PAC ID 2769849637, 2 clinicians

Practice addresses (Care Compare)

540 Madison Oak Dr
Suite 260
San Antonio, TX 78258-3930
Phone (210) 481-1700

Hospital & facility affiliations

  • Accentcare Home Health of Texas Home health agency, San Antonio, TX, CCN 679174
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement13
Upper limb (arm) arthroscopy (minimally invasive joint repair)33
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1985TXMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha and Omega Orthopedics PLLC Hand Surgery CurrentSince Apr 1, 2023 Accepting new patients
Alpha and Omega Orthopedics PLLC Hand Surgery CurrentSince Apr 1, 2023 Accepting new patients

Locations

110 E Bandera Rd
Boerne, TX 78006
Phone (210) 224-2655

540 Madison Oak Dr
Ste 260
San Antonio, TX 78258
Phone (210) 481-1700

540 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 495-5300

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1487633384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 OGRADY ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062506",
            "telephone_number": "210-288-4423",
            "fax_number": "210-481-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BANDERA RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062802",
            "telephone_number": "210-481-1700",
            "fax_number": "210-481-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Madison Oak Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583930",
            "country_code": "US",
            "telephone_number": "210-481-1700",
            "fax_number": "210-481-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "JOEL",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "M1985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352506501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.