Individual provider Active NPI

Deette Ray Vasques, DO

  • Gynecologic Oncology Physician
  • Fort Worth, TX
National Provider Identifier
1093743098
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
N5453 Issued in TX
Practice address
800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone
(817) 759-7000
Fax
(817) 759-7027
NPI assigned
Jun 29, 2006
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N5453 TX
Obstetrics & Gynecology Physician 207V00000X OS012961 PA
Gynecologic Oncology Physician 207VX0201X N5453 TX Primary

Addresses

Primary practice location

800 W Magnolia Ave
Fort Worth, TX 76104-4611

Mailing address

800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Other identifiers 5

IdentifierTypeStateIssuer
8CD938OtherTXBCBS
204475201MedicaidTX
204475203MedicaidTX
8CF728OtherTXBCBS
204475202MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dvasques@txcc.OncoEMRDirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000837 TX Practitioner - Gynecological Oncology 9931185725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2900 N I
35 Suite 111
Denton, TX 76201-5142
Phone (940) 380-8155

3025 N Tarrant Pkwy
Suite 240
Fort Worth, TX 76177-8626
Phone (817) 759-7000

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

515 W Mayfield Rd
Arlington, TX 76014-2084
Phone (817) 759-7000

6100 Harris Pkwy
Suite 235
Fort Worth, TX 76132-4126
Phone (817) 759-7000

800 W Magnolia Ave
Fort Worth, TX 76104-4611

811 W Interstate 20
Suite 132
Arlington, TX 76017-5871
Phone (817) 759-7000

920 Santa Fe Dr
Weatherford, TX 76086-5864
Phone (817) 596-0637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012961PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Consultants, PA CurrentSince Feb 5, 2010 Accepting new patients
Oncology-Hematology Consultants PA Gynecologic Oncology CurrentSince Feb 5, 2010 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

515 W Mayfield Rd
Ste 102
Arlington, TX 76014
Phone (817) 333-3300

11801 South Fwy
Ste 101
Burleson, TX 76028
Phone (817) 717-5691

6100 Harris Pkwy
Ste 235
Fort Worth, TX 76132
Phone (817) 263-7200

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

Interoperability endpoints

  • Direct secure messaging: dvasques@txcc.oncoemrdirect.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 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1093743098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUES",
        "first_name": "DEETTE",
        "middle_name": "RAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N5453",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS012961",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "N5453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CD938",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204475201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204475203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CF728",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204475202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dvasques@txcc.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 W Magnolia Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.