NPIMap

Individual provider Active NPI

Wasyl William Fedoriw, MD

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1063669471
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
P4162 Issued in TX
Practice address
18885 Katy Fwy
Houston, TX 77094-1103
Phone
(281) 829-2000
Fax
(281) 829-2220
NPI assigned
Aug 27, 2008
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X P4162 TX Primary
Orthopaedic Surgery Physician 207X00000X 125050811 IL

Addresses

Primary practice location

18885 Katy Fwy
Houston, TX 77094-1103

Mailing address

PO Box 207
Houston, TX 77001-0207
Phone (713) 650-6900

Other practice location 1

215 Kingwood Executive Dr
Kingwood, TX 77339-2763
Phone (713) 650-6900

Other practice location 2

2600 North Loop W Ste 100
Houston, TX 77092-8915
Phone (713) 650-6900

Other identifiers 2

IdentifierTypeStateIssuer
P4162OtherTXTEXAS MEDICAL LICENSE
125050811OtherILILLINOIS STATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000719 TX Practitioner - Orthopedic Surgery 9335399906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates LLPGroup PAC ID 0941285928, 14 clinicians

Practice addresses (Care Compare)

215 Kingwood Executive Dr
Suite 100
Kingwood, TX 77339-2764
Phone (281) 358-4145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.38 of 100Reported as group
Quality
73.06
Promoting interoperability
92
Improvement activities
40
Cost
64.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125050811ILMDOrthopaedic Surgery Physician
P4162TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 13, 2012 Accepting new patients
Ut Physicians CurrentSince Sep 13, 2012 Accepting new patients
Orthopaedic Associates, LLP Orthopaedic Surgery CurrentSince Sep 1, 2019 Accepting new patients

Locations

18885 Katy Fwy
Houston, TX 77094
Phone (281) 829-2000

2600 North Loop W
Ste 100
Houston, TX 77092
Phone (281) 829-2000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

18955 N Memorial Dr
Ste 420
Humble, TX 77338
Phone (281) 319-5900

215 Kingwood Executive Dr
Ste 100
Kingwood, TX 77339
Phone (281) 358-4145

22751 Professional Dr
Ste 250
Kingwood, TX 77339
Phone (281) 668-7205

Interoperability endpoints

  • Direct secure messaging: wasyl.fedoriw.1@11939.direct.athenahealth.com
  • Direct secure messaging: wasyl.fedoriw.1@25152.direct.athenahealth.com
  • Direct secure messaging: wasyl.fedoriw@2920.securemail.prognocis.com
  • Direct secure messaging: wfedoriw@direct.uspi.com
  • Direct secure messaging: wfedoriw35813@memorialhermann.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1063669471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770010207",
            "telephone_number": "713-650-6900",
            "fax_number": "888-355-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18885 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941103",
            "telephone_number": "281-829-2000",
            "fax_number": "281-829-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Kingwood Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392763",
            "country_code": "US",
            "telephone_number": "713-650-6900",
            "fax_number": "888-355-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 North Loop W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770928915",
            "country_code": "US",
            "telephone_number": "713-650-6900",
            "fax_number": "888-355-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDORIW",
        "first_name": "WASYL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P4162",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125050811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "P4162",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE NUMBER",
            "identifier": "125050811",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.