Active NPI
Alexander Wyckoff, MD
- Diagnostic Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R3457
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-2400 - Phone
- (214) 648-3817
- NPI assigned
- Jun 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R3457 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-2400
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Other practice location 1
1709 Dryden Rd # 5.70
Houston, TX 77030-2400
Phone (713) 798-0190
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Southwestern Medical School at Dallas, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000
Hospital & facility affiliations
- Baptist Medical Center
- Resolute Health Hospital
- Westover Hills Baptist Hospital
- Baptist Neighborhood Hospital Thousand Oaks
- The Hospitals of Providence Horizon City Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.84 of 100
- Quality
- 99.37
- Improvement activities
- 40
- Cost
- 80.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.83 of 100
- Quality
- 83.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| M&S Radiology Associates, PA | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Diagnostic Radiology | Current | Accepting new patients |
| VHS San Antonio Imaging Partners, LP | Diagnostic Radiology | Current | Accepting new patients |
| VHS San Antonio Partners, LLC | Past | Accepting new patients |
Locations
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400
1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404
7719 S Ih 35
San Antonio, TX 78224
Phone (210) 572-2955
2111 SE Loop 410
San Antonio, TX 78220
Phone (210) 390-8240
10811 Town Center Dr
San Antonio, TX 78251
Phone (210) 572-0911
25615 US Highway 281 N
San Antonio, TX 78258
Phone (210) 292-0168
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
9522 Huebner Rd
San Antonio, TX 78240
Phone (210) 478-5390
6491 Woodlake Pkwy
San Antonio, TX 78244
Phone (210) 622-8220
16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092
1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885
215 E Quincy St
Ste 100
San Antonio, TX 78215
Phone (210) 351-0784
520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412
4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415
16977 Interstate 35 N
Schertz, TX 78154
Phone (210) 572-8400
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 6
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.
-
- Specialist
- San Antonio, TX
- NPI 1265423693
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1457350993
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1972579365
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1114473329
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1275235426
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598560997
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1205189172
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1205382413
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1225381197
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1477805406
-
- General Acute Care Hospital
- Schertz, TX
- NPI 1639422504
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1669752234
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1841844735
-
- General Acute Care Hospital
- Horizon City, TX
- NPI 1003344334
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1275473340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1770844573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753902400",
"telephone_number": "214-648-3817"
}
],
"practiceLocations": [
{
"address_1": "1709 Dryden Rd # 5.70",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302400",
"country_code": "US",
"telephone_number": "713-798-0190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYCKOFF",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "R3457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.