Individual provider Active NPI

Scott P Worrich, M.D.

  • Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1699703066
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
M4663 Issued in TX
Practice address
4680 Lockhill Selma Rd Ste 200
San Antonio, TX 78249-2094
Phone
(210) 546-1480
Fax
(210) 546-1489
NPI assigned
Jun 28, 2006
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X MT179497 PA
Pain Medicine Physician 208VP0000X M4663 TX Primary

Addresses

Primary practice location

4680 Lockhill Selma Rd Ste 200
San Antonio, TX 78249-2094

Mailing address

45 NE Loop 410 Ste 850
San Antonio, TX 78216-5824
Phone (210) 805-9800

Other practice location 1

10423 State Highway 151 Ste 103
San Antonio, TX 78251-4768
Phone (210) 546-1480

Other identifiers 2

IdentifierTypeStateIssuer
1843138-03MedicaidTX
134313803MedicaidTX

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
I20060925000129 TX Practitioner - AnesthesiologyPractitioner - Pain Management 9032114145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William a. Tisdall, M.D., P.a.Group PAC ID 2860517877, 9 clinicians

Practice addresses (Care Compare)

1919 Rogers Rd
Suite 104
San Antonio, TX 78251-4775
Phone (210) 541-0700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT179497PAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William a. Tisdall, M.D., P.a. CurrentSince Jul 1, 2025 Accepting new patients
William a. Tisdall, M.D., P.a. Pain Medicine CurrentSince Jul 1, 2025 Accepting new patients
Texas Pain Partners PLLC Pain Medicine CurrentSince Nov 1, 2024 Accepting new patients
Texas Pain Partners PLLC Pain Medicine CurrentSince Nov 1, 2024 Accepting new patients

Locations

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

1314 E Sonterra Blvd
Ste 2107
San Antonio, TX 78258

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

1919 Rogers Rd
Ste 104
San Antonio, TX 78251

3202 Cherry Ridge Dr
Ste 103
San Antonio, TX 78230
Phone (210) 441-4333

423 Treeline Park
Ste 325
San Antonio, TX 78209
Phone (210) 546-1460

45 NE Loop 410
Ste 850
San Antonio, TX 78216

4680 Lockhill Selma Rd
Ste 200
Shavano Park, TX 78249
Phone (210) 546-1470

Interoperability endpoints

  • Direct secure messaging: scott.worrich@1339.chartlogic.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1699703066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410 STE 850",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165824",
            "telephone_number": "210-805-9800",
            "fax_number": "210-805-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 LOCKHILL SELMA RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492094",
            "telephone_number": "210-546-1480",
            "fax_number": "210-546-1489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10423 State Highway 151 Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514768",
            "country_code": "US",
            "telephone_number": "210-546-1480",
            "fax_number": "210-546-1489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORRICH",
        "first_name": "SCOTT",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MT179497",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "M4663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843138-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134313803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.