Active NPI
Yosafe Wakwaya, M.D.
- Pulmonary Disease Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- S8671
- Practice address
- 3410 Worth St Ste 250
Dallas, TX 75246-2073 - Phone
- (214) 820-6856
- NPI assigned
- Jun 21, 2013
- Last updated
- May 13, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 58748 | CO | |
| Pulmonary Disease Physician | 207RP1001X | S8671 | TX | Primary |
Addresses
Primary practice location
3410 Worth St Ste 250
Dallas, TX 75246-2073
Mailing address
3410 Worth St Ste 250
Dallas, TX 75246-2073
Phone (214) 820-6856
Other practice location 1
5200 Dtc Pkwy
Greenwood Village, CO 80111-2709
Phone (303) 745-0000
Other practice location 2
1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205275336 | Medicaid | CO |
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
- Pulmonary Disease
- Education
- University of Missouri, Kansas City, School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3410 Worth St
250 Baylor Scott and White Medprovider
Dallas, TX 75246-2073
Phone (214) 820-6856
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58748 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Philippe G Lopez MD PC | Pulmonary Disease | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
3410 Worth St
Ste 250
Dallas, TX 75246
Phone (214) 820-6856
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- ywakwaya729919@direct.sw.org
Organizations & group practices 4
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.
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Critical Care Medicine (Internal Medicine) Physician
- Greenwood Village, CO
- NPI 1871526897
Pulmonary Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Waxahachie
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba Baylor Scott & White Heart and Vascular Hospital - Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1205275336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 WORTH ST STE 250",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462073",
"telephone_number": "214-820-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 WORTH ST STE 250",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462073",
"telephone_number": "214-820-6856"
}
],
"practiceLocations": [
{
"address_1": "5200 Dtc Pkwy",
"address_purpose": "LOCATION",
"city": "Greenwood Village",
"state": "CO",
"postal_code": "801112709",
"country_code": "US",
"telephone_number": "303-745-0000",
"fax_number": "303-708-1834",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Jackson St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80206",
"country_code": "US",
"telephone_number": "303-388-4461",
"fax_number": "303-270-2174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAKWAYA",
"first_name": "YOSAFE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-21",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "58748",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "S8671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205275336",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Naureen Wajahat
- Stephanie Necole Wakefield, DDS
- Nausheen Wakhlu, MD
- Sidarth Wakhlu, M.D.
- Jean-Claude I Wakim, PH.D.
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2996)
- Wal-Mart Stores Texas LLC (Vision Center 30-5823)
- Wal-Mart Stores Texas LLC (WalMart Pharmacy 10-5889)
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2105)
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3406)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.