Individual provider Active NPI

Alexander Wyckoff, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1770844573
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R3457 Issued in TX
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727000890 TX Practitioner - Diagnostic Radiology 2567680317 Reassigns benefits to 3 organizations

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
Mands Radiology Associates PAGroup PAC ID 3173505088, 54 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • Westover Hills Baptist Hospital Hospital, San Antonio, TX, CCN 670333
  • Baptist Neighborhood Hospital Thousand Oaks Hospital, San Antonio, TX, CCN 670078
  • The Hospitals of Providence Horizon City Campus Hospital, Horizon City, TX, CCN 670124

Merit-based Incentive Payment System (MIPS)

Final score
97.84 of 100Reported as group
Quality
99.37
Improvement activities
40
Cost
80.16

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as group
Quality
83.33
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
M&S Radiology Associates, PA CurrentSince Jul 1, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
VHS San Antonio Imaging Partners, LP Diagnostic Radiology CurrentSince Jul 30, 2018 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.

Hospital & facility affiliations 17

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

View all 17

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

Verify at the official NPI Registry.