Individual provider Active NPI

Hector Barrezueta

  • Pediatrics Physician
  • Waco, TX
National Provider Identifier
1649564014
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q1568 Issued in TX
Practice address
6101 Woodway Dr
Suite 230
Waco, TX 76712-6111
Phone
(254) 537-6400
Fax
(254) 537-6401
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q1568 TX Primary

Addresses

Primary practice location

6101 Woodway Dr
Suite 230
Waco, TX 76712-6111

Mailing address

PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715001041 TX Practitioner - Pediatric Medicine 9234421942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

6101 Woodway Dr
230 Providence Pediatric Clinic
Waco, TX 76712-6117
Phone (254) 537-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Jul 1, 2016 Accepting new patients
Providence Health Alliance CurrentSince Jul 1, 2016 Accepting new patients
Ascension Providence Past Accepting new patients

Locations

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

6101 Woodway Dr
Ste 230
Woodway, TX 76712
Phone (254) 537-6400

Interoperability endpoints

  • Direct secure messaging: hector.barrezueta.1@9635.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1649564014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18962",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "800-566-5050",
            "fax_number": "254-537-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WOODWAY DR",
            "address_2": "SUITE 230",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126111",
            "telephone_number": "254-537-6400",
            "fax_number": "254-537-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARREZUETA",
        "first_name": "HECTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.