Roland S Waguespack Jr., MD
Individual provider Active NPI Family Medicine Physician · Vacherie, LA
NPI 1013983295 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1013983295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 009974 (LA)
- Practice address
- 1108 St James St
Vacherie, LA 70090 - Phone
- (225) 265-4087
- Fax
- (225) 265-4678
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1108 Saint James St
Vacherie, LA 70090-5320
Phone (225) 265-4087
Hospital & facility affiliations
- Thibodaux Regional Medical Center
- St James Parish Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100118000195 | LA | Practitioner - Family Practice | 9133261902 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009974 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roland S. Waguespack MD Apmc | Current |
Accepting new patients | |
| Roland S. Waguespack MD | Past | Accepting new patients | |
| Roland S Waguespack MD | Past | Accepting new patients | |
| St James Parish Hosp Serv Dist | Past |
Accepting new patients |
Locations
1108 Saint James St
Vacherie, LA 70090
Phone (225) 265-4087
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADBDDD/Endpoint/ADBDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 009974 | LA | Yes |
Addresses
Primary practice location
1108 St James St
Vacherie, LA 70090
Mailing address
1108 St James St
Vacherie, LA 70090
Phone (225) 265-4087
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1090123 | Medicaid | LA |
Other providers in Vacherie, LA
- Thibodaux Regional Network Development Corporation
- Tomi Toups
- Vacherie Dialysis Center, Inc.
- Francine Louise Waguespack
- Marcia Waguespack
- Shauna D. Williams
- Z Best Transportation LLC
All providers in Vacherie, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.