Individual provider Active NPI

Adelle Safo, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1871939843
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R1633 Issued in TX
Practice address
4242 Medical Dr Ste 3100
San Antonio, TX 78229-5642
Phone
(210) 615-1187
Fax
(210) 614-2180
NPI assigned
May 17, 2013
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anesthesiology Physician 207L00000X R1633 TX Primary
Anesthesiology Physician 207L00000X 4917-320 WI

Addresses

Primary practice location

4242 Medical Dr Ste 3100
San Antonio, TX 78229-5642

Mailing address

PO Box 34717
San Antonio, TX 78265-4717
Phone (210) 615-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170918003540 TX Practitioner - Anesthesiology 3173897915 Reassigns benefits to 9 organizations
I20241028001097 WI Practitioner - Anesthesiology 3173897915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians
Greater Texas Anesthesia Consultants PLLCGroup PAC ID 2163857251, 19 clinicians
Pilot Anesthesia PLLCGroup PAC ID 0648511444, 16 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4700

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1132

3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-5000

375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone (414) 326-1800

400 Chisholm PL
Suite 114
Plano, TX 75075-6957
Phone (972) 588-4541

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 588-4541

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4917-320WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pilot Anesthesia PLLC Anesthesiology CurrentSince Mar 27, 2024 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Salem Health Current Accepting new patients
Reliance Anesthesia Group, PLLC Anesthesiology CurrentSince Apr 2, 2024 Accepting new patients
Lighthouse Anesthesia PLLC. Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Nov 13, 2023 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Aug 14, 2017 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Aug 14, 2017 Accepting new patients
Anesthesiology Consultants of North Texas PA Anesthesiology CurrentSince Apr 2, 2024 Accepting new patients
Shannon Clinic Anesthesiology CurrentSince Feb 12, 2024 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Oct 27, 2024 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology Current Accepting new patients
Anesthesia Alliance of Dallas, P.a. Anesthesiology CurrentSince Dec 11, 2023 Accepting new patients
Matt T. Gubert, PA Anesthesiology PastSince Mar 3, 2024 Accepting new patients

Locations (25 of 26)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Ste 4000
Salem, OR 97301
Phone (503) 814-4048

17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

17440 Dallas Pkwy
Ste 228
Dallas, TX 75287
Phone (972) 588-4541

17950 Preston Rd
Ste 75
Dallas, TX 75252
Phone (972) 267-5400

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1871939843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34717",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654717",
            "telephone_number": "12106151187",
            "fax_number": "210-614-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 3100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295642",
            "telephone_number": "210-615-1187",
            "fax_number": "210-614-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFO",
        "first_name": "ADELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R1633",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "4917-320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.