KEITH A. WAGUESPACK MD – NPI #1124014659
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

KEITH WAGUESPACK is an urologist located in IRVING, TX. NPPES has assigned the NPI number 1124014659 to KEITH WAGUESPACK on September 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 7 years ago on Jul 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEITH WAGUESPACK below.

NPI Profile for
KEITH A. WAGUESPACK

NPI Number
1124014659
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEITH A. WAGUESPACK
Credentials
MD
Primary location
2021 N MACARTHUR BLVD STE 450
IRVING, TX 75061
Phone: (866) 367-8768 Fax: (817) 541-9301
1 Other location(s):
2021 N MacArthur Blvd Ste 450
Irving, TX 75061
Phone: (866) 367-8768
Fax: (817) 541-9301
Mailing address
5001 S COOPER ST STE 201
ARLINGTON, TX 76017-5993
Phone: (866) 367-8768 Fax: (817) 541-9555
Sole Proprietor
No
Updated
Identifiers

Identifiers for KEITH WAGUESPACK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDTX165039202
MEDICAIDTX165039205
MEDICAIDTX165039201
MEDICAIDTX165039203
MEDICAIDTX165039204
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
TX L7918

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS - Graduated 1999
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KEITH WAGUESPACK is affiliated with the following medical group(s):
  • HOSPITAL
    • BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING
      1901 N MACARTHUR BLVD
      IRVING, TX 75061
    • BAYLOR SURGICAL HOSPITAL AT LAS COLINAS
      400 WEST LYNDON B JOHNSON SUITE 101B
      IRVING, TX 75063

Why is my NPI data (personal information) being displayed publicly?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.