Individual provider Active NPI

Deo Mulindwa, M.D.

  • Internal Medicine Physician
  • Waco, TX
National Provider Identifier
1881092385
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R0457 Issued in TX
Practice address
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone
(254) 202-2000
NPI assigned
Dec 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015-01459 NC
Internal Medicine Physician 207R00000X R0457 TX Primary
Hospitalist Physician 208M00000X R0457 TX

Addresses

Primary practice location

100 Hillcrest Medical Blvd
Waco, TX 76712-8897

Mailing address

PO Box 848491
Dallas, TX 75284-8491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, TX, AR, WV, PA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20150904000332 NC Practitioner - Internal Medicine 3476869587 Reassigns benefits to 5 organizations
I20171204001431 VA Practitioner - Internal Medicine 3476869587 Reassigns benefits to 1 organization
I20180502001288 TX Practitioner - HospitalistPractitioner - Internal Medicine 3476869587 Reassigns benefits to 7 organizations
I20220106001974 AR Practitioner - Internal Medicine 3476869587 Reassigns benefits to 3 organizations
I20230823001858 WV Practitioner - Hospitalist 3476869587 Reassigns benefits to 2 organizations
I20241016001906 PA Practitioner - Internal Medicine 3476869587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Community Hospital Assn. Inc.Group PAC ID 3678482221, 174 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP018KYMDInternal Medicine Physician
2015-01459NCMDInternal Medicine Physician
R0457TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Mar 6, 2020 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 18, 2023 Accepting new patients
Fayette Physician Network Inc Internal Medicine CurrentSince Sep 27, 2024 Accepting new patients
Fayette Physician Network Inc CurrentSince Sep 27, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince May 9, 2016 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jun 1, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 10, 2022 Accepting new patients
Lufkin Physician Services PA Hospitalist CurrentSince Dec 9, 2019 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Sound Physicians of North Carolina, PLLC Internal Medicine CurrentSince Jun 25, 2015 Accepting new patients
St Bernards Hospital Inc. CurrentSince Jan 1, 2022 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 18, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Mar 6, 2020 Accepting new patients
Usacs Integrated Acute Care Services of North Carolina, PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
THS Physician Partners Inc Internal Medicine CurrentSince Jun 28, 2024 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 10, 2022 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities Hospitalist CurrentSince Jan 10, 2022 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 10, 2022 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients
Princeton Community Hospital Assn., Inc. Past Accepting new patients

Locations (25 of 36)

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

L3539
Columbus, OH 43260
Phone (304) 414-4800

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

Organizations & group practices 26

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.

View all 26

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1881092385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848491",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HILLCREST MEDICAL BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128897",
            "telephone_number": "254-202-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULINDWA",
        "first_name": "DEO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-01459",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R0457",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R0457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.