Individual provider Active NPI

Amanda Wiggins, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fort Sam Houston, TX
National Provider Identifier
1710363023
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
U5263 Issued in TX
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 916-1523
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X U5263 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-1523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240515000906 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 1759722218 Reassigns benefits to 7 organizations
I20240611002826 ME Practitioner - Critical Care (Intensivists) 1759722218 Reassigns benefits to 10 organizations
I20250819002538 MO Practitioner - Critical Care (Intensivists) 1759722218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians
Trinity Medical CenterGroup PAC ID 2264337518, 97 clinicians
Texas Ips LLCGroup PAC ID 9638356801, 44 clinicians
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

27225 Salt St
San Antonio, TX 78260-1719
Phone (515) 573-3101

3782 Briar Tree LN
Frisco, TX 75034-3806
Phone (309) 779-3101

4458 Medical Dr
Suite 505
San Antonio, TX 78229-3748
Phone (210) 690-7400

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5263TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Aug 18, 2025 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Jun 2, 2024 Accepting new patients
Trinity Regional Medical Center CurrentSince Jun 25, 2024 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jun 2, 2024 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 2, 2024 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Jun 20, 2024 Accepting new patients
Texas Ips LLC Critical Care Medicine CurrentSince Aug 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Nov 9, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 2, 2024 Accepting new patients
Trinity Medical Center Critical Care Medicine CurrentSince Jun 20, 2024 Accepting new patients
MRH Corp. CurrentSince Jun 2, 2024 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Jun 2, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 12, 2026 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Jun 2, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 2, 2024 Accepting new patients
Eastern Maine Healthcare Systems CurrentSince Jun 2, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 2, 2024 Accepting new patients
MRH Corp. CurrentSince Jun 2, 2024 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jun 2, 2024 Accepting new patients
MRH Corp. Past Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

2730 Pierce St
Ste 401
Sioux City, IA 51104

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

489 State St
Bangor, ME 04401
Phone (207) 973-8837

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

34910 Interstate 10 W
Ste 601
Boerne, TX 78006
Phone (830) 248-1207

4458 Medical Dr
Ste 505
San Antonio, TX 78229

1434 E Sonterra Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 481-3119

4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181

Interoperability endpoints

  • Direct secure messaging: awiggins1072860@direct.unitypoint.org

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1710363023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "AMANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "U5263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.