Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Derek Witteman , DO

General Practice β€’ San Antonio, TX

Active NPI 1770996779 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

8519 State Highway 151
San Antonio, TX 782452492

Call 5307201785 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8519 State Highway 151

San Antonio, TX 782452492

Telephone 5307201785
Organization at the Same NPPES Address or Phone
Tmc Provider Group Pllc Facility NPI 1669837464

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Professional Imaging Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Witteman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Witteman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in San Antonio and Texas

91 active clinicians are listed under General Practice with a practice address in San Antonio, TX (1,066 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Antonio

2.2% of these 91 clinicians have the CMS telehealth indicator.

20.9% of these 91 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-09
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES TX S6095

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES CA 20A14540

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20201015002125

Enrollment State Jurisdiction

CA

PECOS Control ID

6800155029

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Professional Imaging Pllc

1717 Rotary Dr, Humble, TX 773385235

Phone: 2812726277

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location July 09, 2026

Registered at 8519 STATE HIGHWAY 151, SAN ANTONIO, TX 782452492 (Tel: 5307201785)

πŸ“
Updated Business Mailing Address July 09, 2026

Registered at 5900 BALCONES DR STE 100, AUSTIN, TX 787314298

πŸ‘€
Provider Name / Credentials Updated July 09, 2026

Recorded as DEREK WITTEMAN, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2026

General Practice (license number reported to NPPES: CA 20A14540)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2026

Pediatrics (license number reported to NPPES: TX S6095)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2019

General Practice (license number reported to NPPES: CA 20A14540)

βœ…
NPI Profile Active June 06, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2014

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 968595001 (Tel: 8084332474)

πŸ“
Business Mailing Address (Initial Record) June 06, 2014

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 968595001

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2014

Recorded as DEREK WITTEMAN, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2014

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 06, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1770996779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2014
Last Update: July 09, 2026
Sole Proprietor: No

Other General Practices in San Antonio

All General Practices in San Antonio

Mailing Address

5900 Balcones Dr Ste 100

Austin, TX 787314298

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.