Active NPI
Amanda Wiggins, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- U5263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| U5263 | TX | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | Accepting new patients | |
| The Blue Hill Memorial Hospital | Current | Accepting new patients | |
| Trinity Regional Medical Center | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Sebasticook Valley Health | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Texas Ips LLC | Critical Care Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Sebasticook Valley Health | Current | Accepting new patients | |
| Trinity Medical Center | Critical Care Medicine | Current | Accepting new patients |
| MRH Corp. | Current | Accepting new patients | |
| The Blue Hill Memorial Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Charles a Dean Memorial Hospital | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Healthcare Systems | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| MRH Corp. | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | 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
- 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.
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Critical Care Medicine, TX
-
- Critical Access Hospital
- Greenville, ME
- NPI 1659388213
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- Critical Access Hospital
- Dover Foxcroft, ME
- NPI 1558319103
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
TX
-
- Critical Access Hospital
- Pittsfield, ME
- NPI 1457461477
-
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.