Active NPI
Maurice Kieth Eggleston Jr., M.D.
- Maternal & Fetal Medicine Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- Q2125
- Practice address
- 1300 Hospital Dr Ste 200
Fredericksburg, VA 22401-8451 - Phone
- (540) 741-3260
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 0101031234 | VA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | Q2125 | TX | Primary |
Addresses
Primary practice location
1300 Hospital Dr Ste 200
Fredericksburg, VA 22401-8451
Mailing address
10 Towering Oaks Dr
Fredericksburg, VA 22405-8732
Phone (540) 735-4341
Other practice location 1
1500 S Main St Fl 2
Fort Worth, TX 76104-4917
Phone (817) 702-1100
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89066A1 | Medicaid | NC | |
| PAR | Other | VA | CORVEL CORCARE |
| PAR | Other | VA | MID-ATLANTIC VICARE |
| PAR | Other | VA | FIRST HEALTH |
| 006217265 | Medicaid | VA | |
| PAR | Other | VA | USA MANAGE D CARE |
| PAR | Other | VA | MULTI PLAN |
| PAR | Other | VA | VA PREMIER VPH |
| 187156 | Other | VA | ANTHEM BC/BK VA/HK |
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
- Obstetrics/Gynecology
- Education
- Virginia Commonwealth University, School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Main St
FL 2
Fort Worth, TX 76104-4917
Phone (817) 702-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Norumbega Medical Specialists, LTD | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1201 S Main St
Ft Worth, TX 76104
Phone (817) 702-6500
1500 S Main St
Fl 2
Ft Worth, TX 76104
Phone (817) 702-3000
Interoperability endpoints
- maurice.eggleston.1@7598.direct.athenahealth.com
Organizations & group practices 4
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.
-
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- Fort Worth, TX
- NPI 1780076562
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1851365225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TOWERING OAKS DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224058732",
"telephone_number": "540-735-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOSPITAL DR STE 200",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224018451",
"telephone_number": "540-741-3260"
}
],
"practiceLocations": [
{
"address_1": "1500 S Main St Fl 2",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044917",
"country_code": "US",
"telephone_number": "817-702-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGGLESTON",
"first_name": "MAURICE",
"middle_name": "KIETH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "VA",
"license": "0101031234",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TX",
"license": "Q2125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89066A1",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID-ATLANTIC VICARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006217265",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGE D CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI PLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER VPH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BK VA/HK",
"identifier": "187156",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.