Individual provider Active NPI

Mark Stuart Klepper, M.D.

  • Pulmonary Disease Physician
  • Waco, TX
National Provider Identifier
1376576769
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H2510 Issued in TX
Practice address
318 Richland West Cir
Suite a
Waco, TX 76712-7919
Phone
(254) 537-6600
Fax
(254) 537-6601
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X H2510 TX Primary

Addresses

Primary practice location

318 Richland West Cir
Suite a
Waco, TX 76712-7919

Mailing address

PO Box 20308
Waco, TX 76702-0308
Phone (254) 537-6868

Other identifiers 2

IdentifierTypeStateIssuer
137496911MedicaidTX
8AV861OtherTXBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000804 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8820135601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200

340 Richland W Cir
Ascension Medical Group Providence
Waco, TX 76712-7919
Phone (254) 537-6050

342 Richland W Cir
Waco, TX 76712-7919
Phone (254) 537-6600

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2510TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Sep 14, 2009 Accepting new patients
Providence Health Alliance CurrentSince Sep 14, 2009 Accepting new patients
Pulmonary & Critical Care Consultants of Austin, L.L.P. Pulmonary Disease Past Accepting new patients

Locations

318 Richland West Cir
Ste A
Waco, TX 76712
Phone (254) 537-6600

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

Interoperability endpoints

  • Direct secure messaging: mark.klepper.1@9635.direct.athenahealth.com

Organizations & group practices 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1376576769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20308",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767020308",
            "telephone_number": "254-537-6868",
            "fax_number": "254-537-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RICHLAND WEST CIR",
            "address_2": "SUITE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127919",
            "telephone_number": "254-537-6600",
            "fax_number": "254-537-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPPER",
        "first_name": "MARK",
        "middle_name": "STUART",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H2510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137496911",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8AV861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.