Individual provider Active NPI

Waqas Shuaib, M.D.

  • Emergency Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1356791115
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD471322 Issued in PA
Practice address
1301 3Rd St Ste 200
Wichita Falls, TX 76301-2245
Phone
(940) 767-5145
Fax
(940) 767-3027
NPI assigned
Jun 13, 2016
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD471322 PA Primary
Family Medicine Physician 207Q00000X BP10056694 TX

Addresses

Primary practice location

1301 3Rd St Ste 200
Wichita Falls, TX 76301-2245

Mailing address

1301 3Rd St Ste 200
Wichita Falls, TX 76301-2245
Phone (940) 767-5145

Other identifiers 1

IdentifierTypeStateIssuer
6905522MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190822003446 AL Practitioner - Emergency MedicinePractitioner - Family Practice 9234467622 Reassigns benefits to 4 organizations
I20200728001290 PA Practitioner - Emergency Medicine 9234467622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tombigbee Healthcare AuthorityGroup PAC ID 6709873235, 41 clinicians
Emergency Physician Associates of Pennsylvania PCGroup PAC ID 5597663252, 88 clinicians

Practice addresses (Care Compare)

105 US Hwy 80 E
Demopolis, AL 36732-3605
Phone (334) 289-4000

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10056694TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tombigbee Healthcare Authority CurrentSince Mar 4, 2020 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Tombigbee Healthcare Authority Family Medicine CurrentSince Mar 4, 2020 Accepting new patients
Tombigbee Healthcare Authority Current Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
American Family Care, LLC CurrentSince Feb 1, 2020 Accepting new patients
Lakeland Physicians LLC Emergency Medicine CurrentSince Dec 15, 2019 Accepting new patients
Lakeland Physician Practices LLC Family Medicine Past Accepting new patients

Locations

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

3000 Cahaba Village Plz
Ste 110
Mountain Brk, AL 35243
Phone (205) 263-7836

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1356791115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 3RD ST STE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012245",
            "telephone_number": "940-767-5145",
            "fax_number": "940-767-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 3RD ST STE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012245",
            "telephone_number": "940-767-5145",
            "fax_number": "940-767-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUAIB",
        "first_name": "WAQAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD471322",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10056694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6905522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.