Organization Active NPI

Star Urology of Texas, P.a.

  • Urology Physician
  • Waxahachie, TX
National Provider Identifier
1225110323
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K8388 Issued in TX
Legal business name
STAR UROLOGY OF TEXAS, P.A.
Practice address
200 Northgate Dr
Waxahachie, TX 75165
Phone
(214) 980-1920
Fax
(214) 980-1686
NPI assigned
Oct 19, 2006
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
STAR UROLOGY OF TEXAS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Dr. Francis O Nwafor, M.D.NPI 1679699714
Title
Owner/Provider
Phone
(214) 980-1920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K8388 TX Primary

Addresses

Primary practice location

200 Northgate Dr
Waxahachie, TX 75165

Mailing address

200 Northgate Dr
Waxahachie, TX 75165
Phone (214) 980-1920

Other identifiers 9

IdentifierTypeStateIssuer
120561100OtherFIRST CARE
8A5910OtherBCBS
101972102MedicaidTX
340018490OtherTXRR MEDC
7190018OtherAETNA
8168MOOtherTXMEDICARE
00016ROtherTXMEDICARE
0026E2OtherTXBCBS
079566801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090910000128 TX Part B Supplier - Clinic/Group Practice 5092872416 Receives reassigned benefits from 1 practitioner
Practice locations: Waxahachie, TX

National Provider Directory

National Provider Directory
Part of
Star Urology of Texas PA

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

20 N Gate Dr
Waxahachie, TX 75165
Phone (214) 980-1920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1225110323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHGATE DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "214-980-1920",
            "fax_number": "214-980-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTHGATE DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "214-980-1920",
            "fax_number": "214-980-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR UROLOGY OF TEXAS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR UROLOGY OF TEXAS, P.A.",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "NWAFOR",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "214-980-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K8388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "120561100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A5910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101972102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDC",
            "identifier": "340018490",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7190018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8168MO",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00016R",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0026E2",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079566801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.