Individual provider Active NPI

Maydee Annette Rosario-Reglero, M.D.

  • Pulmonary Disease Physician
  • Waco, TX
National Provider Identifier
1437130077
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L8925 Issued in TX
Practice address
7003 Woodway Dr
Suite 311
Waco, TX 76712-6170
Phone
(254) 741-1688
Fax
(254) 741-9767
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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 L8925 TX Primary

Addresses

Primary practice location

7003 Woodway Dr
Suite 311
Waco, TX 76712-6170

Mailing address

7003 Woodway Dr
Suite 311
Waco, TX 76712-6170
Phone (254) 741-1688

Other identifiers 1

IdentifierTypeStateIssuer
165258801MedicaidTX

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
I20040713000254 TX Practitioner - Pulmonary Disease 5698753994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University Central del Caribe Escuela de Medicina, 1999
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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Oct 1, 2009 Accepting new patients
Providence Health Alliance CurrentSince Oct 1, 2009 Accepting new patients

Locations

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

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

342 Richland West Cir
Waco, TX 76712
Phone (254) 537-0200

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

7003 Woodway Dr
Ste 311
Woodway, TX 76712
Phone (254) 537-6000

7125 Sanger Rd
Ste B
Woodway, TX 76712
Phone (254) 741-1688

Interoperability endpoints

  • Direct secure messaging: maydee.rosario.reglero.1@9635.direct.athenahealth.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 3

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1437130077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR",
            "address_2": "SUITE 311",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126170",
            "telephone_number": "254-741-1688",
            "fax_number": "254-741-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR",
            "address_2": "SUITE 311",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126170",
            "telephone_number": "254-741-1688",
            "fax_number": "254-741-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO-REGLERO",
        "first_name": "MAYDEE",
        "middle_name": "ANNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L8925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165258801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.