CLINTON R WOOSLEY M.D.
NPI 1316952088
Pediatrics - Pediatric Critical Care Medicine in San Antonio, TX

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 743-2100(210) 702-6215 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2023, Jul 12, 2023, Jun 23, 2023 and 1 more (4 updates tracked since 2019).

About Clinton R Woosley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON R WOOSLEY M.D. (NPI 1316952088) is an individual pediatric critical care medicine provider in San Antonio, Texas, licensed in Texas (L7263) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2000).

NPPES Registry Identity

NPI1316952088
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameCLINTON R WOOSLEYCredential: M.D.
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Fax(210) 702-6215
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2000
Enumeration DateJuly 30, 2006
Last NPPES UpdateOctober 30, 20244 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1316952088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses Licensed in TX · L7263 Licensed in NM · MD2017-0116
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License L7263 (TX)
4502 MEDICAL DR, San Antonio, TX 78229

Other Identifiers 4

Other163061801TX · Cidc
Other163061816TX · Cshcn
Medicaid163061802TX
Medicaid163061815TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clinton R Woosley M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830172808
PECOS Enrollment IDI20040610000832
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Woosley's NPI number?

The NPI number for Clinton Woosley is 1316952088. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Clinton Woosley located?

Clinton Woosley practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 743-2100.

What is Clinton Woosley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Clinton Woosley enrolled in Medicare?

Yes. Clinton Woosley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clinton Woosley accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Medica and Molina Healthcare list Clinton Woosley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Woosley was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.