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

Active since July 30, 2006PECOS Enrolled
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: October 18, 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.

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
Phone(210) 743-2100
Fax(210) 702-6215
Sole ProprietorNo
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
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Other Identifiers 4

Other163061801TX · Cidc
Other163061816TX · Cshcn
Medicaid163061802TX
Medicaid163061815TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton R Woosley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Clinton Woosley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School
0.2 mi
Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At San Antonio
  • 2,397 clinicians in this Medicare group
NPI 1750403887 (210) 567-3274
Baylor College Of Medicine
7.3 mi
Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
NPI 1285079764 (210) 704-3030
Phc Las Cruces Inc.
521 mi
Specialist
2450 S TELSHOR BLVD, STE E
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 71 clinicians in this Medicare group
NPI 1497069397 (575) 556-5800
Unm Medical Group Inc
607 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

EDUARDO N. POLLONO MD
Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
DR. MAHDIEH IRAN NEJAD PARIZI M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
RICHARD LEE BALLENTINE D.M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
MR. STEVAN REYES PTA
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4253
MRS. CLAIRE LELEUX BEADLE CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
NNENNA AWAGU CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4500
DR. CYNTHIA N NGUYEN PHARMD
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 743-4034
DR. JONATHAN EDWARD SLOVIK MD
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000

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 enrollment system.

Which organizations bill Medicare for Clinton Woosley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Woosley reassigns Medicare benefits to 4 organizations: Uthscsa Dental School (San Antonio, TX), Baylor College Of Medicine (San Antonio, TX), Phc Las Cruces Inc. (Las Cruces, NM) and Unm Medical Group Inc (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clinton Woosley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Woosley accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. 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 23 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.