Organization Active NPI

Andrew L. Whaley, M.D., P.a.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1932383015
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ANDREW L. WHALEY, M.D., P.A.
Practice address
250 W Sunset Rd
San Antonio, TX 78209-2651
Phone
(210) 293-2663
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Dr. Andrew L Whaley, MDNPI 1023127701
Title
Physician
Phone
(210) 293-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

250 W Sunset Rd
San Antonio, TX 78209-2651

Mailing address

250 W Sunset Rd
San Antonio, TX 78209-2651
Phone (210) 293-2663

Other identifiers 1

IdentifierTypeStateIssuer
157921104OtherTXMEDICAID-INDIVIDUAL

Other names 1

  • Orthopaedic Surgery and Sports Medicine of San Antonio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100712000321 TX Part B Supplier - Clinic/Group Practice 7618026931 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX
O20110510000518 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7618026931 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1932383015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W SUNSET RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092651",
            "telephone_number": "210-293-2663",
            "fax_number": "210-293-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W SUNSET RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092651",
            "telephone_number": "210-293-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW L. WHALEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-293-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-INDIVIDUAL",
            "identifier": "157921104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Surgery and Sports Medicine of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopaedic Surgery and Sports Medicine of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.