Individual provider Active NPI

Waymon Drummond, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1659310597
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E0896 Issued in TX
Practice address
5959 Harry Hines Blvd
Suite 820
Dallas, TX 75235-6234
Phone
(214) 638-1773
Fax
(214) 631-3561
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E0896 TX Primary

Addresses

Primary practice location

5959 Harry Hines Blvd
Suite 820
Dallas, TX 75235-6234

Mailing address

5959 Harry Hines Blvd
Suite 820
Dallas, TX 75235-6234
Phone (214) 638-1773

Other identifiers 2

IdentifierTypeStateIssuer
083741101MedicaidTX
083741102MedicaidTX

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
I20051018000196 TX Practitioner - Internal Medicine 2769408970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13747 Montfort Dr
Suite 230
Dallas, TX 75240-4454
Phone (214) 638-1773

9 Medical Pkwy
Dallas, TX 75234-7855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0896TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Clinical Research & Hypertension Clinic of Texas PLLC Internal Medicine CurrentSince Sep 1, 2005 Accepting new patients
Renaissance Clinical Research Current Accepting new patients

Locations

13747 Montfort Dr
Ste 230
Dallas, TX 75240
Phone (214) 638-1773

5959 Harry Hines Blvd
Ste 820
Dallas, TX 75235
Phone (214) 638-1773

9 Medical Pkwy
Ste 308
Farmers Brnch, TX 75234
Phone (214) 702-2790

Interoperability endpoints

  • Direct secure messaging: dmcwdrumm@yourcarecommunity.org
  • Direct secure messaging: waymon.drummond.1@29073.direct.athenahealth.com
  • Direct secure messaging: waymon.drummond.1@4418.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1659310597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "SUITE 820",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-638-1773",
            "fax_number": "214-631-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "SUITE 820",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-638-1773",
            "fax_number": "214-631-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "WAYMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E0896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083741101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083741102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.