NPIMap

Individual provider Active NPI

Wassim Khaled Choucair, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • San Antonio, TX
National Provider Identifier
1962496620
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
L4299 Issued in TX
Practice address
8122 Datapoint Dr
Ste 120
San Antonio, TX 78229-3272
Phone
(210) 998-6900
Fax
(210) 998-6907
NPI assigned
Sep 8, 2005
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L4299 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X L4299 TX Primary

Addresses

Primary practice location

8122 Datapoint Dr
Ste 120
San Antonio, TX 78229-3272

Mailing address

8122 Datapoint Dr
Ste 120
San Antonio, TX 78229-3272
Phone (210) 998-6900

Other identifiers 1

IdentifierTypeStateIssuer
152809304MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040409000083 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7113911520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Rhythm Institute of South Texas PAGroup PAC ID 9032437306, 2 clinicians

Practice addresses (Care Compare)

8122 Datapoint Dr
Suite 120
San Antonio, TX 78229-3264
Phone (210) 998-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.8 of 100Reported as individual
Quality
89.47
Improvement activities
40
Cost
57.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair53
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4299TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Rhythm Institute of South Texas, PA Cardiovascular Disease CurrentSince Apr 13, 2015 Accepting new patients
Heal Well Primary Care PC CurrentSince Jan 1, 2025 Accepting new patients
Hillside Primary Care PLLC CurrentSince Jan 1, 2025 Accepting new patients
Cardiac Imaging Inc CurrentSince Jun 1, 2018 Accepting new patients
Complete Care Partners LLC Past Accepting new patients
BHS Physicians Network, Inc Past Accepting new patients

Locations

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

8122 Datapoint Dr
Ste 120
San Antonio, TX 78229
Phone (210) 847-1486

8122 Datapoint Dr
Ste 700
San Antonio, TX 78229
Phone (210) 615-0600

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1962496620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293272",
            "telephone_number": "210-998-6900",
            "fax_number": "210-998-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293272",
            "telephone_number": "210-998-6900",
            "fax_number": "210-998-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUCAIR",
        "first_name": "WASSIM",
        "middle_name": "KHALED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L4299",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "L4299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152809304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.