Individual provider Active NPI

Dennis L Parks, MD

  • Diagnostic Radiology Physician
  • Waco, TX
National Provider Identifier
1346200870
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H1820 Issued in TX
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

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125250403MedicaidTX
125250401MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PA 61 clinicians
Waco Cardiology Associates 22 clinicians

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 Hospital, Waco, TX, CCN 450042
  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392
  • Freestone Medical Center Hospital, Fairfield, TX, CCN 450658
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Radiological Associates PA Diagnostic Radiology CurrentSince Jan 7, 1992 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.