Organization Active NPI

Waco Primary Care, P.a.

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1245528249
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3028 Issued in TX
Legal business name
WACO PRIMARY CARE, P.A.
Practice address
7100 Old McGregor Rd
Waco, TX 76712-6120
Phone
(254) 399-6545
Fax
(254) 399-6558
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Dr. Karl Trippe, M.D.NPI 1285615674
Title
Physician/Owner
Phone
(254) 399-6545

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K3028 TX Primary

Addresses

Primary practice location

7100 Old McGregor Rd
Waco, TX 76712-6120

Mailing address

7100 Old McGregor Rd
Waco, TX 76712-6120
Phone (254) 399-6545

Other identifiers 2

IdentifierTypeStateIssuer
285856501MedicaidTX
285856502MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2040722Waco Primary Care, PA7100 Old McGregor Road, Waco, TX 76712Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

7100 Old McGregor Rd
Woodway, TX 76712
Phone (254) 399-6545

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3439/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1245528249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126120",
            "telephone_number": "254-399-6545",
            "fax_number": "254-399-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126120",
            "telephone_number": "254-399-6545",
            "fax_number": "254-399-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "TRIPPE",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "254-399-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285856501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285856502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.