Individual provider Active NPI

Luis E Vasquez, MD

  • Rheumatology Physician
  • Tyler, TX
National Provider Identifier
1366417388
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
K1115 Issued in TX
Practice address
5777 New Copeland Rd
Suite 100
Tyler, TX 75703-3905
Phone
(903) 561-9255
Fax
(903) 561-0034
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1115 TX
Rheumatology Physician 207RR0500X K1115 TX Primary

Addresses

Primary practice location

5777 New Copeland Rd
Suite 100
Tyler, TX 75703-3905

Mailing address

5777 New Copeland Rd
Suite 100
Tyler, TX 75703-3905
Phone (903) 561-9255

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
I20061016000203 TX Practitioner - RheumatologyPractitioner - Internal Medicine 0941206940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Arthritis and RheumatologyGroup PAC ID 5496751497, 5 clinicians

Practice addresses (Care Compare)

5777 New Copeland Rd
Suite 100
Tyler, TX 75703-3905
Phone (903) 561-9255

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Merit-based Incentive Payment System (MIPS)

Final score
97.86 of 100Reported as group
Quality
95.73
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1115TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Arthritis and Rheumatology Rheumatology CurrentSince Jul 1, 2006 Accepting new patients
Tyler Radiology Associates PA Past Accepting new patients

Locations

5777 New Copeland Rd
Tyler, TX 75703
Phone (903) 561-9255

5777 New Copeland Rd
Ste 100
Tyler, TX 75703
Phone (903) 561-9255

4293 Kinsey Dr
Tyler, TX 75703
Phone (903) 561-6308

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: luis.vasquez.p1@direct.texasarthritis.nextgenshare.com

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 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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1366417388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 NEW COPELAND RD",
            "address_2": "SUITE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033905",
            "telephone_number": "903-561-9255",
            "fax_number": "903-561-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 NEW COPELAND RD",
            "address_2": "SUITE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033905",
            "telephone_number": "903-561-9255",
            "fax_number": "903-561-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "LUIS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1115",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "K1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.