Individual provider Active NPI

Ralph Michael Wurster, DO

  • Family Medicine Physician
  • San Angelo, TX
National Provider Identifier
1962535617
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9894 Issued in TX
Practice address
5730 Sherwood Way
San Angelo, TX 76901-5642
Phone
(325) 944-3851
Fax
(325) 947-1626
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9894 TX Primary
Family Medicine Physician 207Q00000X 0S6853 FL

Addresses

Primary practice location

5730 Sherwood Way
San Angelo, TX 76901-5642

Mailing address

5730 Sherwood Way
San Angelo, TX 76901-5642
Phone (325) 944-3851

Other practice location 1

3100 17th St
Saint Cloud, FL 34769-6021
Phone (407) 892-0009

Other identifiers 2

IdentifierTypeStateIssuer
59-2974863OtherFLTAX ID
379175100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190201001293 TX Practitioner - Family Practice 3375711328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

2142 Sunset Dr
San Angelo, TX 76904-6829
Phone (325) 747-1511

220 E Harris Ave
San Angelo, TX 76903-5906
Phone (325) 747-1511

2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone (325) 747-1511

3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-7500

3502 Knickerbocker Rd
San Angelo, TX 76904-7671
Phone (325) 747-2222

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-1511

4235 Southwest Blvd
San Angelo, TX 76904-5635
Phone (325) 747-1511

4251 Sunset Dr
San Angelo, TX 76904-5653
Phone (325) 747-2226

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
  • Country Home Health Home health agency, San Angelo, TX, CCN 679469
  • Centerwell Home Health Home health agency, Eastland, TX, CCN 457128
  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Hill Country Preferred Senior Care Home health agency, Mason, TX, CCN 677458
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S6853FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
La Esperanza Clinic, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
La Esperanza Clinic Inc Current Accepting new patients
Shannon Clinic Family Medicine CurrentSince Oct 4, 2020 Accepting new patients
La Esperanza Clinic, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jan 1, 2019 Accepting new patients
Adventist Health System-Sunbelt, Inc Past Accepting new patients

Locations

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

1610 S Chadbourne St
San Angelo, TX 76903
Phone (325) 658-5339

1636 Hunters Glen Rd
San Angelo, TX 76901
Phone (325) 949-5722

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

35 E 31st St
San Angelo, TX 76903
Phone (325) 658-5339

5730 Sherwood Way
San Angelo, TX 76901
Phone (325) 944-3851

2142 Sunset Dr
San Angelo, TX 76904
Phone (325) 245-4211

3535 Knickerbocker Rd
San Angelo, TX 76904
Phone (915) 947-6495

34 Buick St
San Angelo, TX 76901
Phone (325) 658-5339

Interoperability endpoints

  • Direct secure messaging: rwurster38927@shannonhealth.direct-ci.com
  • Direct secure messaging: ralph.wurster@pfp2.eclinicaldirectplus.com

Organizations & group practices 8

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.

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1962535617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015642",
            "telephone_number": "325-944-3851",
            "fax_number": "325-947-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015642",
            "telephone_number": "325-944-3851",
            "fax_number": "325-947-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 17th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347696021",
            "country_code": "US",
            "telephone_number": "407-892-0009",
            "fax_number": "407-892-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WURSTER",
        "first_name": "RALPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9894",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S6853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "59-2974863",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379175100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.