Active NPI
Alexis Ann Wiesenthal Miles, MD
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1881663557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N1219
- Practice address
- 333 W Olmos Dr #18
San Antonio, TX 78212 - Phone
- (210) 614-1010
- Fax
- (210) 949-1010
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36165 | AZ | |
| Internal Medicine Physician | 207R00000X | A103118 | CA | |
| Internal Medicine Physician | 207R00000X | N1219 | TX | Primary |
Addresses
Primary practice location
333 W Olmos Dr #18
San Antonio, TX 78212
Mailing address
PO Box 6627
San Antonio, TX 78209
Phone (210) 614-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219490401 | Medicaid | TX |
Other names 1
- Alexis Ann Wiesenthal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
San Antonio, TX 78212
Phone (210) 614-1010
333 W Olmos Dr
San Antonio, TX 78212-1959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36165 | AZ | MD | Internal Medicine Physician |
| A103118 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexis Wiesenthal MD PA | Internal Medicine | Current | Accepting new patients |
| Martin J. Wiesenthal, MD, PA | Internal Medicine | Past | Accepting new patients |
Locations
7950 Floyd Curl Dr
Ste 1010
San Antonio, TX 78229
Phone (210) 614-1010
8038 Wurzbach Rd
Ste 320
San Antonio, TX 78229
Phone (210) 614-3365
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1013165356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1881663557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6627",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78209",
"telephone_number": "210-614-1010",
"fax_number": "210-949-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W OLMOS DR #18",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78212",
"telephone_number": "210-614-1010",
"fax_number": "210-949-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "ALEXIS",
"middle_name": "ANN WIESENTHAL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "36165",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A103118",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N1219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219490401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "WIESENTHAL",
"middle_name": "ANN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.