Active NPI
William Andrew Atlas, M.D.
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1902881535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H9186
- Practice address
- 540 Madison Oak Dr
Ste 550
San Antonio, TX 78258-3943 - Phone
- (210) 404-9220
- Fax
- (210) 404-9223
- NPI assigned
- Dec 6, 2005
- Last updated
- Jan 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H9186 | TX | Primary |
Addresses
Primary practice location
540 Madison Oak Dr
Ste 550
San Antonio, TX 78258-3943
Mailing address
540 Madison Oak Dr
Ste 550
San Antonio, TX 78258-3943
Phone (210) 404-9220
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DL456 | Other | TX | BCBSTX |
| 105549308 | Medicaid | TX | |
| P01136133 | Other | RAILROAD MEDICARE | |
| 105549304 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081029000172 | TX | Practitioner - Internal Medicine | 3971556069 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9186 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Internal Medicine Physicians, PLLC | Internal Medicine | Past | Accepting new patients |
| Imed Healthcare Associates, PLLC | Internal Medicine | Past | Accepting new patients |
| HMG Medical Group, P.a. | Past | Accepting new patients | |
| Methodist Medical Group, PLLC | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- San Antonio, TX
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-
dba IMED Internal Medicine
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-
- Cardiovascular Disease Physician
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Internal Medicine
-
dba IMED Healthcare Associates
- Internal Medicine Physician
- San Antonio, TX
- NPI 1548550528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1902881535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 MADISON OAK DR",
"address_2": "STE 550",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583943",
"telephone_number": "210-404-9220",
"fax_number": "210-404-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 MADISON OAK DR",
"address_2": "STE 550",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583943",
"telephone_number": "210-404-9220",
"fax_number": "210-404-9223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATLAS",
"first_name": "WILLIAM",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H9186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8DL456",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105549308",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01136133",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105549304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.