Active NPI
Eric John Chudej, MD
- Family Medicine Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N7530
- Practice address
- 851 N Loop 340
Waco, TX 76705-2592 - Phone
- (254) 202-7500
- NPI assigned
- Sep 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N7530 | TX | Primary |
Addresses
Primary practice location
851 N Loop 340
Waco, TX 76705-2592
Mailing address
PO Box 848476
Dallas, TX 75284-8476
Phone (800) 994-0371
Other practice location 1
5100 Franklin Ave
Waco, TX 76710-6922
Phone (254) 865-2166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB115929 | Other | TX | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | echudej1192794@direct.sw.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 Macarthur Dr
Waco, TX 76708-3161
Phone (254) 202-4360
5400 Laurel Lake Dr
Waco, TX 76710-2835
Phone (254) 399-6633
7300 Bosque Blvd
Waco, TX 76710-4023
Phone (254) 202-7700
851 N Loop
340 B S and W H Clinic Bellmead
Waco, TX 76705-2592
Phone (254) 202-7500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7530 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coryell County Memorial Hospital Authority | Current | Accepting new patients | |
| Coryell County Memorial Hospital Authority | Current | Accepting new patients | |
| Coryell County Memorial Hospital Authority | Current | Accepting new patients | |
| Hillcrest Family Health Center | Family Medicine | Current | Accepting new patients |
| Soheil Hekmat, MD, Inc. | Past | Accepting new patients |
Locations
1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500
851 N Loop 340
Waco, TX 76705
Phone (254) 202-7500
Interoperability endpoints
- echudej1192794@direct.sw.org
- echudej1336648@direct.sw.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Waco, TX
- NPI 1891796694
-
dba Coryell Memorial Healthcare System
- Anesthesiology Physician
- Gatesville, TX
- NPI 1992832521
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
-
dba Hillside Medical Lodge
- Skilled Nursing Facility
- Gatesville, TX
- NPI 1427345347
-
dba Coryell Health
- Emergency Medicine Physician
- Gatesville, TX
- NPI 1528195062
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
-
dba Baylor Scott & White Medical Center Hillcrest
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
-
dba West Rest Haven
- Skilled Nursing Facility
- West, TX
- NPI 1780633396
Nursing home
-
dba AccentCare Home Health of Waco
- Home Health Agency
- Waco, TX
- NPI 1548790991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1053620013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848476",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848476",
"telephone_number": "800-994-0371",
"fax_number": "254-215-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 N LOOP 340",
"city": "WACO",
"state": "TX",
"postal_code": "767052592",
"telephone_number": "254-202-7500"
}
],
"practiceLocations": [
{
"address_1": "5100 Franklin Ave",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767106922",
"country_code": "US",
"telephone_number": "254-865-2166",
"fax_number": "254-248-0626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUDEJ",
"first_name": "ERIC",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-24",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N7530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB115929",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "echudej1192794@direct.sw.org",
"affiliation": "N",
"address_1": "851 N Loop 340",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767052592",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.