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
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

Other identifiers 3

IdentifierTypeStateIssuer
H00040TV01OtherTXBCBS
218671001MedicaidTX
DR0519OtherTXMEDICARE RAILROAD

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

1050 State Highway 16 S
Bandera, TX 78003
Phone (210) 874-3270

134 Menger Spgs
Ste 1370
Boerne, TX 78006
Phone (830) 331-8000

1051 US Highway 90 E
Castroville, TX 78009
Phone (830) 931-3336

3240 Fort Worth St
Ste 109
Corpus Christi, TX 78411
Phone (210) 575-5915

12709 Toepperwein Rd
Ste 306
Live Oak, TX 78233
Phone (210) 381-6533

12709 Toepperwein Rd
Ste 203
Live Oak, TX 78233
Phone (210) 402-6561

1860 S Seguin Ave
Ste 725
New Braunfels, TX 78130

4499 Medical Dr
Ste 120
San Antonio, TX 78229
Phone (210) 575-5506

255 E Sonterra Blvd
Ste 150
San Antonio, TX 78258
Phone (210) 341-3222

5510 Presidio Pkwy
Ste 2211B
San Antonio, TX 78249

1139 E Sonterra Blvd
Ste 201
San Antonio, TX 78258

1139 E Sonterra Blvd
Ste 260
San Antonio, TX 78258
Phone (210) 404-2800

4499 Medical Dr
Ste 166
San Antonio, TX 78229
Phone (210) 575-8485

6800 W Ih 10
#360
San Antonio, TX 78201

4330 Medical Dr
Ste 325
San Antonio, TX 78229
Phone (210) 615-1955

1139 E Sonterra Blvd
Ste 245
San Antonio, TX 78258
Phone (210) 404-2800

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

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

1100 McCullough Ave
Ste 300
San Antonio, TX 78212

940 S Highway 123 Byp
Seguin, TX 78155
Phone (830) 379-6545

Practitioners & affiliated clinicians

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 144

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H00040TV01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218671001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DR0519",
            "state": "TX"
        }
    ],
    "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.