Thomas A Waller, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J2407 Issued in TX

Practice address

6300 W Parker Rd
Suite 125
Plano, TX 75093-8100

Phone

(469) 800-4400

Fax

(469) 800-4410

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Texas Southwestern Medical School at Dallas, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
• Baylor Scott and White Medical Center Frisco at PG Hospital, Frisco, TX, CCN 670346
• Baylor Scott and White the Heart Hospital Corinth Hospital, Denton, TX, CCN 670347

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: twaller226373@direct.sw.org

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Texas Heart Hospital of the Southwest, LLC

  dba Baylor Scott & White the Heart Hospital - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  dba Baylor Scott & White The Heart Hospital Rehabilitation

  • Rehabilitation Hospital Unit
  • Denton, TX
  • NPI 1033938451

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  dba Baylor Scott & White the Heart Hospital - Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1194753590

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  dba Baylor Scott & White The Heart Hospital - Corinth

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1669213831

  General Partnership Interest

  CMS ownership

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.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1235135906

  Internal Medicine

  NPD
• Cardiovascular Consultants of North Texas, LLP

  • Cardiovascular Disease Physician
  • Carrollton, TX
  • NPI 1295987337
  NPD (past)
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)

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

• Baylor Regional Medical Center at Plano

  dba Baylor Scott & White Medical Center - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Baylor Scott & White Medical Centers - Greater North Texas

  dba Baylor Scott & White Medical Center - Frisco at PGA Parkway

  • General Acute Care Hospital
  • Frisco, TX
  • NPI 1851108765
  Care Compare affiliation
• Texas Heart Hospital of the Southwest, LLC

  dba Baylor Scott & White the Heart Hospital - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340
  Care Compare affiliation
• Thhbp Management Company LLC

  dba Baylor Scott & White The Heart Hospital - Corinth

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1669213831
  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1760410187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "SUITE 125",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "469-800-4400",
            "fax_number": "469-800-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "SUITE 125",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "469-800-4400",
            "fax_number": "469-800-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2407",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J2407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118387304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CX368",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118387308",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118387307",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118387306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Nicole Walker, RN, APRN, CPNP-PC
• Stephen M Walker, OPA-C
• Adayah Wallace
• Elizabeth Wallenberg
• Moriah Waller, LPC-A
• Emma Walls, CCC-SLP
• Walnut Operations, LLC
• Katrina H Walsh, M.D.
• Walter X .Loyola,M.D.,PA
• James Cleo Walter II, MD

• Cardiovascular Disease Physician in Plano, TX
• Providers in Plano, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.

Verify at the official NPI Registry.