Active NPI
William Thomas McCunniff, MD
- Family Medicine Physician
- Waco, TX
National Provider Identifier
1598028813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P8159
- Practice address
- 7702 Central Park Dr
Waco, TX 76712-6535 - Phone
- (254) 202-7700
- Fax
- (254) 202-7710
- NPI assigned
- Jun 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10044615 | TX | |
| Family Medicine Physician | 207Q00000X | P8159 | TX | Primary |
Addresses
Primary practice location
7702 Central Park Dr
Waco, TX 76712-6535
Mailing address
PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655
Other practice location 1
1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wmccunniff62591@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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140422002057 | TX | Practitioner - Family Practice | 6406088665 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hillcrest Family Health Center
Practice addresses (Care Compare)
7702 Central Park Dr
Waco, TX 76712-6535
Phone (254) 202-7700
Hospital & facility affiliations
- Accentcare Home Health of Waco
- Baylor Scott & White Medical Center Hillcrest
- Ascension Providence
- Baylor Scott & White Medical Center - Temple
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10044615 | TX | MD | Family Medicine Physician |
| P8159 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Family Health Center | Family Medicine | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients | |
| Soheil Hekmat, MD, Inc. | Past | Accepting new patients |
Locations
851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500
7702 Central Park Dr
#B
Waco, TX 76712
Phone (254) 202-7700
7702 Central Park Dr
Woodway, TX 76712
Phone (254) 202-7700
Interoperability endpoints
- wmccunniff62591@direct.sw.org
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baylor Scott & White Medical Center - Hillcrest | Hospital | Operational/Managerial Control | Nov 16, 2020 |
| Baylor Scott & White Medical Center Hillcrest | Hospital | Operational/Managerial Control | Nov 16, 2020 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rehabilitation Hospital Unit
- Waco, TX
- NPI 1568899391
Operational/Managerial Control
-
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
Operational/Managerial Control
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.
-
- Family Medicine Physician
- Waco, TX
- NPI 1891796694
Family Medicine, TX
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
-
- Specialist
- Inglewood, CA
- NPI 1588831374
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1598028813",
"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": "7702 CENTRAL PARK DR",
"city": "WACO",
"state": "TX",
"postal_code": "767126535",
"telephone_number": "254-202-7700",
"fax_number": "254-202-7710"
}
],
"practiceLocations": [
{
"address_1": "1600 Providence Dr",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767072261",
"country_code": "US",
"telephone_number": "254-313-4200",
"fax_number": "254-313-4326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCUNNIFF",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10044615",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P8159",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmccunniff62591@direct.sw.org",
"affiliation": "N",
"address_1": "7702 Central Park Dr",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767126535",
"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 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.