DR. MAURICE KIETH JR. EGGLESTON (M.D.) – Maternal & Fetal Medicine Physician, NPI 1851365225

DR. MAURICE KIETH JR. EGGLESTON (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in Maternal & Fetal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 0101031234 (VA). The NPI Number for DR. MAURICE KIETH JR. EGGLESTON (M.D.) is 1851365225

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAURICE KIETH JR. EGGLESTON (M.D.)
NPI
1851365225
Phone
(817) 702-1100
Address
1500 S Main St Fl 2
Enumeration Date
14 February 2006
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
3616941684
Graduation Year
1978 (48 years ago)
PAC ID
5991780827
Group Practice PAC ID
3678478872
Professional Enrollment ID
I20141125000245
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. MAURICE KIETH JR. EGGLESTON (M.D.)

  • 1500 S Main St Fl 2

    Fort Worth, TX 761044917

    Phone: (817) 702-1100

    Type: Location

  • 1300 HOSPITAL DR STE 200

    FREDERICKSBURG, VA 224018451

    Phone: (540) 741-3260

    Type: Location

  • 10 TOWERING OAKS DR

    FREDERICKSBURG, VA 224058732

    Phone: (540) 735-4341

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141125000245IObstetrics/GynecologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678478872View full group profile
NameSpecialtyState
Pediatric MedicineTX
-TX
Critical Care (Intensivists), Pediatric MedicineTX
Neurology, Pediatric MedicineTX
Critical Care (Intensivists), Pediatric MedicineTX
Pediatric MedicineTX
Neurology, Pediatric MedicineTX
Pulmonary DiseaseTX
Diagnostic RadiologyTX
Nephrology, Pediatric MedicineTX

Reviews

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Frequently asked questions

Does DR. MAURICE KIETH JR. EGGLESTON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MAURICE KIETH JR. EGGLESTON (M.D.) uses 1851365225.
Can I rely on DR. MAURICE KIETH JR. EGGLESTON (M.D.) being an active provider?
As of the registry snapshot, DR. MAURICE KIETH JR. EGGLESTON (M.D.) is marked active.
What is DR. MAURICE KIETH JR. EGGLESTON (M.D.)'s specialty?
The listing groups DR. MAURICE KIETH JR. EGGLESTON (M.D.) with Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. MAURICE KIETH JR. EGGLESTON (M.D.) list a practice location?
Patients near Fort Worth, Texas may find DR. MAURICE KIETH JR. EGGLESTON (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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