Active NPI
Dennis L Parks, MD
- Diagnostic Radiology Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- H1820
- Practice address
- 6901 Medical Pkwy
Radiology Department
Waco, TX 76712-7910 - Phone
- (903) 663-7393
- Fax
- (903) 663-7394
- NPI assigned
- Mar 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | H1820 | TX | Primary |
Addresses
Primary practice location
6901 Medical Pkwy
Radiology Department
Waco, TX 76712-7910
Mailing address
4777 US Highway 259
Longview, TX 75605-7668
Phone (903) 663-7393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125250403 | Medicaid | TX | |
| 125250401 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101221000617 | TX | Practitioner - Diagnostic Radiology | 4880649631 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Louisiana State University School of Medicine in New Orleans, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Texas Radiological Associates PAWaco Cardiology Associates
Practice addresses (Care Compare)
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000
7125 New Sanger Ave
Suite a
Waco, TX 76712-4054
Phone (254) 399-5400
7125 New Sanger Ave a
Waco, TX 76712-4054
Hospital & facility affiliations
- Ascension Providence
- Coryell Memorial Hospital
- Hamilton General Hospital
- Freestone Medical Center
- Baylor Scott & White Medical Center - Temple
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Radiological Associates PA | Diagnostic Radiology | Current | Accepting new patients |
Locations
400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600
3206 4th St
Longview, TX 75605
Phone (903) 663-7393
6600 Fish Pond Rd
Ste 103
Waco, TX 76710
Phone (254) 294-4780
6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000
405 Londonderry Dr
Ste 104
Waco, TX 76712
Phone (254) 751-4900
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Waco, TX
- NPI 1861452864
Diagnostic Radiology, TX
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Gatesville, TX
- NPI 1780823021
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1346200870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4777 US HIGHWAY 259",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057668",
"telephone_number": "903-663-7393",
"fax_number": "903-663-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL PKWY",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "WACO",
"state": "TX",
"postal_code": "767127910",
"telephone_number": "903-663-7393",
"fax_number": "903-663-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "DENNIS",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "H1820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125250403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125250401",
"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 Aug 15, 2013; 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.