Cody Blackstone, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Schertz, TX
NPI 1831833375 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1831833375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1739 Schertz Pkwy
Schertz, TX 78154-1639 - Phone
- (210) 491-8179
- Fax
- (210) 590-2664
- NPI assigned
- Apr 21, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellmed Medical Group PA
Practice addresses (Care Compare)
1739 Schertz Pkwy
Schertz, TX 78154-1639
Phone (210) 491-8179
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250908004226 | TX | Practitioner - Internal Medicine | 0244732238 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W0524 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Internal Medicine | Current |
Accepting new patients |
| Wellmed Medical Group, P.a. | Internal Medicine | Current |
Accepting new patients |
Locations
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
1739 Schertz Pkwy
Schertz, TX 78154
Phone (210) 491-8179
Interoperability endpoints
- cody.blackstone@wellmed.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | W0524 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1739 Schertz Pkwy
Schertz, TX 78154-1639
Mailing address
1739 Schertz Pkwy
Schertz, TX 78154-1639
Phone (210) 491-8179
Other providers in Schertz, TX
- Vanessa Biesenbach
- Jaizelynne Biggs
- Chase Billings
- Dennis Michael Bishop
- Brittnie Danielle Black
- Vanessa Leanne Bocanegra
- Emily Morgan Boland
- Dominique Boles
- Matthew Booker
- Borcik Physical Therapy and Sports Medicine Clinic, Inc
All providers in Schertz, TX · Student in an Organized Health Care Education/Training Program in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.