NPIMap

Individual provider Active NPI

Geoff Richard Weikle, DO

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1740577212
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P8748 Issued in TX
Practice address
12446 West Ave Ste 200
San Antonio, TX 78216-2530
Phone
(210) 525-1668
Fax
(210) 525-1669
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P8748 TX Primary

Addresses

Primary practice location

12446 West Ave Ste 200
San Antonio, TX 78216-2530

Mailing address

12446 West Ave
San Antonio, TX 78216-2517
Phone (210) 525-1668

Other identifiers 1

IdentifierTypeStateIssuer
333716401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140508001948 TX Practitioner - Internal Medicine 0345473773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geoff R Weikle DO PLLCGroup PAC ID 8820497480, 11 clinicians

Practice addresses (Care Compare)

12446 W Ave
Suite 200
San Antonio, TX 78216-2530
Phone (210) 525-1668

Hospital & facility affiliations

  • Holy Savior Hospice Hospice, San Antonio, TX, CCN 741552
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Legent Orthopedic + Spine Hospital, San Antonio, TX, CCN 670112
  • Foundation Surgical Hospital of San Antonio Hospital, San Antonio, TX, CCN 670054
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Stone Oak Hospital Inpatient rehabilitation facility, San Antonio, TX, CCN 67T055

Merit-based Incentive Payment System (MIPS)

Final score
12.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
43.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8748TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Internal Medicine CurrentSince Mar 25, 2014 Accepting new patients
Geoff R Weikle DO PLLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Methodist Healthcare System of San Antonio LTD LLP Past Accepting new patients
Complete Care Medical Associates PastSince Nov 16, 2021 Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

12446 West Ave
San Antonio, TX 78216
Phone (210) 729-2262

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

Interoperability endpoints

  • Direct secure messaging: gweikle495515@uhssa.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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1740577212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162517",
            "telephone_number": "210-525-1668",
            "fax_number": "210-525-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162530",
            "telephone_number": "210-525-1668",
            "fax_number": "210-525-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIKLE",
        "first_name": "GEOFF",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333716401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.