Organization Active NPI

Cardiology Clinic of San Antonio, PLLC

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1487965000
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC
Practice address
4411 Medical Dr
Suite #300
San Antonio, TX 78229-3822
Phone
(210) 614-5400
Fax
(210) 614-5732
NPI assigned
Jun 29, 2010
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Nicholas Wadlington
Title
Group Vice President
Phone
(615) 372-7332

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

4411 Medical Dr
Suite #300
San Antonio, TX 78229-3822

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101129000599 TX Part B Supplier - Clinic/Group Practice 1153517420 Receives reassigned benefits from 135 practitioners

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

628 Highway 16 S
Ste 628
Bandera, TX 78003
Phone (830) 796-3048

12500 Judson Rd
Ste 300
Live Oak, TX 78233
Phone (210) 473-0246

12709 Toepperwein Rd
Ste 308
Live Oak, TX 78233
Phone (210) 650-0186

1860 S Seguin Ave
Ste 725
New Braunfels, TX 78130

1100 McCullough Ave
Ste 300
San Antonio, TX 78212

1139 E Sonterra Blvd
Ste 201
San Antonio, TX 78258

14747 Jones Maltsberger Rd
San Antonio, TX 78247
Phone (210) 402-0029

4411 Medical Dr
Ste 205
San Antonio, TX 78229
Phone (210) 575-5915

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

4450 Medical Dr
Fl 1
San Antonio, TX 78229
Phone (210) 575-3817

5126 W Loop 1604 N
Ste 307
San Antonio, TX 78251
Phone (210) 270-4210

6800 W Ih 10
#360
San Antonio, TX 78201

6800 W Ih 10
Ste 101
San Antonio, TX 78201

6800 W Ih 10
Ste 300B
San Antonio, TX 78201
Phone (210) 615-7700

3701 Roy Richard Dr
Ste 202
Schertz, TX 78154

1038 Garner Field Rd
#A
Uvalde, TX 78801
Phone (512) 291-5656

Practitioners & affiliated clinicians

Practitioners 145

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 145

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1487965000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR",
            "address_2": "SUITE #300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293822",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WADLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-7332"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.