WACO RHEUMATOLOGY PLLC
NPI 1316762818
Internal Medicine - Rheumatology in Waco, TX

Active since November 19, 2024
611 W HWY 6 STE 101, WACO, TX 76710(254) 755-4582 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2024, Nov 19, 2024 (2 updates tracked since 2024).

About Waco Rheumatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WACO RHEUMATOLOGY PLLC (NPI 1316762818) is a healthcare organization registered as a rheumatology in Waco, Texas and active in the NPI registry since November 2024. The organization lists Bradly Alexander Kimbrough, Employee, as its authorized official.

NPPES Registry Identity

NPI1316762818
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameWACO RHEUMATOLOGY PLLC
Location Address611 W HWY 6 STE 101Waco, TX 76710-7545
Mailing Address611 W Hwy 6 Ste 101Waco, TX 76710-7545 · (254) 755-4582 · Fax (254) 755-4585
Organization SubpartNo
Authorized OfficialBradly Alexander KimbroughEmployee · (254) 421-1174
Enumeration DateNovember 19, 2024
Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1316762818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
611 W HWY 6 STE 101, Waco, TX 76710

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waco Rheumatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Waco Rheumatology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1144684317
611 W HWY 6 STE 101
Waco, TX 76710
(254) 755-4582
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649091869
611 W HWY 6
Waco, TX 76710
(254) 755-4582
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1861998007
611 W HWY 6 STE 101
Waco, TX 76710
(254) 755-4582
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waco Rheumatology PLLC's NPI number?

The NPI number for Waco Rheumatology PLLC is 1316762818. It was assigned to this organization in the NPPES registry on November 19, 2024.

Where is Waco Rheumatology PLLC located?

Waco Rheumatology PLLC is located at 611 W Hwy 6 Ste 101, Waco, TX 76710. The listed phone number is (254) 755-4582.

What is Waco Rheumatology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Waco Rheumatology PLLC enrolled in Medicare?

Yes. Waco Rheumatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waco Rheumatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Waco Rheumatology PLLC, in Nurse Practitioner and Rheumatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Waco Rheumatology PLLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.