Active NPI
Reagan Earl Tipton Jr., DO
- Family Medicine Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H8462
- Practice address
- 2304 Marketplace Dr
Waco, TX 76711-2467 - Phone
- (254) 202-7300
- Fax
- (254) 202-7350
- NPI assigned
- Mar 14, 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 | H8462 | TX | Primary |
Addresses
Primary practice location
2304 Marketplace Dr
Waco, TX 76711-2467
Mailing address
PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655
Other practice location 1
3401 East Main St
Gatesville, TX 76528
Phone (254) 865-2166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8H3675 | Other | TX | BCBS |
| 117747904 | Medicaid | TX |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rtipton16243@direct.sw.org | Direct | |
| Direct Messaging Address | rtipton16243@direct.sw.org | Direct |
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 North Texas HSC, College of Osteopathic Med, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Hewitt Dr
Waco, TX 76712-8486
Phone (254) 202-7800
2201 Macarthur Dr
Waco, TX 76708-3161
Phone (254) 202-4360
2304 Marketplace Dr
Waco, TX 76711-2467
Phone (254) 202-7300
7300 Bosque Blvd
Waco, TX 76710-4023
Phone (254) 202-7700
851 N Loop
340 B S and W H Clinic Bellmead
Waco, TX 76705-2592
Phone (254) 202-7500
Hospital & facility affiliations
- Accentcare Home Health of Waco
- Baylor Scott & White Medical Center Hillcrest
- Coryell Memorial Hospital
- Baylor Scott & White Medical Center - Temple
- Ascension Providence
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H8462 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Family Health Center | Family Medicine | Current | Accepting new patients |
| Soheil Hekmat, MD, Inc. | Past | Accepting new patients |
Locations
3401 E Main St
Gatesville, TX 76528
851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500
50 Hillcrest Medical Blvd
Ste 104
Waco, TX 76712
Phone (254) 202-7300
2304 Marketplace Dr
Waco, TX 76711
Phone (254) 202-2000
Interoperability endpoints
- rtipton16243@direct.sw.org
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.
-
- Family Medicine Physician
- Waco, TX
- NPI 1891796694
-
- Specialist
- Inglewood, CA
- NPI 1588831374
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
-
- Critical Access Hospital
- Gatesville, TX
- NPI 1780823021
-
- 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
- Waco, TX
- NPI 1548790991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1487622544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848476",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848476",
"telephone_number": "254-202-4655",
"fax_number": "254-202-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 MARKETPLACE DR",
"city": "WACO",
"state": "TX",
"postal_code": "767112467",
"telephone_number": "254-202-7300",
"fax_number": "254-202-7350"
}
],
"practiceLocations": [
{
"address_1": "3401 East Main St",
"address_purpose": "LOCATION",
"city": "Gatesville",
"state": "TX",
"postal_code": "76528",
"country_code": "US",
"telephone_number": "254-865-2166",
"fax_number": "254-865-8766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIPTON",
"first_name": "REAGAN",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H8462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8H3675",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117747904",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rtipton16243@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2304 Marketplace Dr",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767112467",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rtipton16243@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2304 Marketplace Dr",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767112467",
"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 Dec 30, 2020; 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.