Keith A Waguespack, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

L7918 Issued in TX

Practice address

2021 N Macarthur Blvd Ste 450
Irving, TX 75061

Phone

(866) 367-8768

Fax

(817) 541-9301

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Urology

Education

University of Texas Southwestern Medical School at Dallas, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urology Partners of North Texas, PLLCGroup PAC ID 7315283454, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
• Usmd Hospital at Arlington L P Hospital, Arlington, TX, CCN 450872
• Baylor Surgical Hospital at Las Colinas Hospital, Irving, TX, CCN 450874

Merit-based Incentive Payment System (MIPS)

Final score

84.29 of 100Reported as group

Quality

91.85

Promoting interoperability

77

Improvement activities

40

Cost

74.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/

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.

• Urology Partners of North Texas, PLLC

  • Urology Physician
  • Arlington, TX
  • NPI 1528537180
  Medicare reassignment Care Compare group NPD
• Urology Associates of North Texas LLP

  • Urology Physician
  • Weatherford, TX
  • NPI 1407849961
  NPD (past)
• Urology Partners of North Texas, PLLC

  • Urology Physician
  • San Antonio, TX
  • NPI 1619827912
  NPD (past)

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

• Baylor Medical Center at Irving

  • Psychiatric Hospital Unit
  • Irving, TX
  • NPI 1114268471
  Care Compare affiliation
• Baylor Medical Center at Irving

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1992700983
  Care Compare affiliation
• Irving Coppell Surgical Hospital

  • Special Hospital
  • Irving, TX
  • NPI 1992772008
  Care Compare affiliation
• Irving-Coppell Surgical Hospital LLP

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1669569984
  Care Compare affiliation
• Usmd Hospital at Arlington, LLC

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1659352987
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1124014659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S COOPER ST STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175993",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 450",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75061",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 N MacArthur Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "75061",
            "country_code": "US",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGUESPACK",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L7918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165039203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165039204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165039205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165039201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165039202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel R. Wade, DDS
• Sarju Waghela, D.O
• Jane Paula Wagner, MSPT, PCS
• Joni Lynne Wagner, COTA
• Terra Wagner, PHD, LPC-S
• Morgan Waits
• Brenda Wakefield, LMT
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LP

• Urology Physician in Irving, TX
• Providers in Irving, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.

Verify at the official NPI Registry.