Individual provider Active NPI

Richard Edward Hannigan, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1801887047
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G5145 Issued in TX
Practice address
12447 Network Blvd Ste 109
San Antonio, TX 78249-3540
Phone
(210) 258-4625
Fax
(877) 479-3805
NPI assigned
Nov 4, 2005
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 G5145 TX Primary

Addresses

Primary practice location

12447 Network Blvd Ste 109
San Antonio, TX 78249-3540

Mailing address

12447 Network Blvd Ste 109
San Antonio, TX 78249-3540
Phone (210) 258-4625

Other identifiers 2

IdentifierTypeStateIssuer
TXB111039OtherTXWELLMED MEDICAL GROUP PA
TXB156602OtherTXWELLMED NETWORKS INC

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
I20070228000430 TX Practitioner - Internal Medicine 4587766167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Networks, Inc.Group PAC ID 6002091261, 116 clinicians

Practice addresses (Care Compare)

4330 Medical Dr
Suite 500
San Antonio, TX 78229-3318
Phone (210) 558-0122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G5145TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Networks, Inc. CurrentSince Jun 25, 2012 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Sep 23, 2021 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Sep 29, 2010 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Sep 29, 2010 Accepting new patients
Greater San Antonio Emergency Physicians, PA Past Accepting new patients

Locations

12447 Network Blvd
Ste 109
San Antonio, TX 78249
Phone (210) 258-4625

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: richard.hannigan@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1801887047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12447 NETWORK BLVD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493540",
            "telephone_number": "210-258-4625",
            "fax_number": "877-479-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12447 NETWORK BLVD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493540",
            "telephone_number": "210-258-4625",
            "fax_number": "877-479-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIGAN",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G5145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "TXB111039",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED NETWORKS INC",
            "identifier": "TXB156602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.