Active NPI
Sean D Delue, M.D.
- Family Medicine Physician
- Waco, TX
National Provider Identifier
1477525004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L7709
- Practice address
- 7700 Fish Pond Rd
Waco, TX 76710-1031 - Phone
- (254) 761-4444
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L7709 | TX | Primary |
Addresses
Primary practice location
7700 Fish Pond Rd
Waco, TX 76710-1031
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 944-0371
Other practice location 1
201 S Avenue T
Clifton, TX 76634-1855
Phone (254) 675-8621
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0131532 | Other | TX | DPS |
| 170095701 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdelue14077@direct.sw.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5400 Laurel Lake Dr
Waco, TX 76710-2835
Phone (254) 399-6633
7700 Fish Pond Rd
Waco, TX 76710-1031
Phone (254) 761-4444
Hospital & facility affiliations
- Accentcare Home Health of Waco
- Texas Quality Home Health
- Baylor Scott & White Medical Center - Temple
- Baylor Scott & White Medical Center Hillcrest
- Ascension Providence
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7709 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Hospital - Taylor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
-
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
-
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
-
- Home Health Agency
- Marlin, TX
- NPI 1649375122
-
- Home Health Agency
- Waco, TX
- NPI 1548790991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1477525004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "800-944-0371",
"fax_number": "254-215-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 FISH POND RD",
"city": "WACO",
"state": "TX",
"postal_code": "767101031",
"telephone_number": "254-761-4444"
}
],
"practiceLocations": [
{
"address_1": "201 S Avenue T",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "TX",
"postal_code": "766341855",
"country_code": "US",
"telephone_number": "254-675-8621",
"fax_number": "254-675-2254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELUE",
"first_name": "SEAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L7709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "N0131532",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170095701",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdelue14077@direct.sw.org",
"affiliation": "N",
"address_1": "7700 Fish Pond Rd",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767101031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.