Active NPI
Pajkub Vahchuama, AUD
- Audiologist
- Wichita Falls, TX
National Provider Identifier
1629655873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81328
- Practice address
- 1 Burnside
Wichita Falls, TX 76310-1123 - Phone
- (940) 322-2498
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 81328 | TX | Primary |
Addresses
Primary practice location
1 Burnside
Wichita Falls, TX 76310-1123
Mailing address
1 Burnside
Wichita Falls, TX 76310-1123
Phone (940) 322-2498
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pvahchuama@headnecksurgical.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Louisiana State University School of Medicine in New Orleans, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Burnside
Wichita Falls, TX 76310-1123
Phone (940) 322-6953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head & Neck Surgical Associates | Current | Accepting new patients |
Locations
1 Burnside
Wichita Falls, TX 76310
Phone (940) 264-5500
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Wichita Falls, TX
- NPI 1053304030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1629655873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BURNSIDE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101123",
"telephone_number": "940-322-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BURNSIDE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101123",
"telephone_number": "940-322-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHCHUAMA",
"first_name": "PAJKUB",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2021-11-04",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81328",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pvahchuama@headnecksurgical.com",
"affiliation": "N",
"address_1": "1 Burnside",
"city": "Wichita Falls",
"state": "TX",
"country_code": "US",
"postal_code": "763101123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.