Active NPI
Keith Arnold Wied, D.O.
- Gastroenterology Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- J2411
- Practice address
- 950 N 14TH St Ste 100
Beaumont, TX 77702-1112 - Phone
- (409) 833-5858
- Fax
- (409) 833-1155
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | J2411 | TX | Primary |
Addresses
Primary practice location
950 N 14TH St Ste 100
Beaumont, TX 77702-1112
Mailing address
950 N 14TH St
Suite 100
Beaumont, TX 77702-1101
Phone (409) 833-5858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88G457 | Other | TX | BCBS |
| 128359005 | Medicaid | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of North Texas HSC, College of Osteopathic Med, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
950 N 14TH St
Beaumont, TX 77702-1111
Phone (409) 833-5858
Hospital & facility affiliations
- Baptist Beaumont Hospital
- Christus Southeast Texas- St Elizabeth
- Christus Jasper Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 299 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 430 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
Locations
950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555
950 N 14th St
Beaumont, TX 77702
Phone (409) 833-5858
950 N 14th St
Ste 200
Beaumont, TX 77702
Phone (409) 833-5555
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860
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.
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Gastroenterology Physician
- Southlake, TX
- NPI 1649256546
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
- Rural Acute Care Hospital
- Jasper, TX
- NPI 1598749707
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1497712350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N 14TH ST",
"address_2": "SUITE 100",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021101",
"telephone_number": "409-833-5858",
"fax_number": "409-833-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N 14TH ST STE 100",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021112",
"telephone_number": "409-833-5858",
"fax_number": "409-833-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIED",
"first_name": "KEITH",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "J2411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88G457",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128359005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.