Individual provider Active NPI

Pajkub Vahchuama, AUD

  • Audiologist
  • Wichita Falls, TX
National Provider Identifier
1629655873
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81328 Issued in TX
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

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address pvahchuama@headnecksurgical.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610002311 TX Practitioner - Qualified Audiologist 6406256585 Reassigns benefits to 1 organization

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
Head and Neck Surgical AssociatesGroup PAC ID 8022089622, 11 clinicians

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

OrganizationSpecialtyStatusNew patients
Head & Neck Surgical Associates CurrentSince May 11, 2021 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.

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.

Verify at the official NPI Registry.