WICHITA FALLS GASTROENTEROLOGY ASSOCIATES – Gastroenterology Physician, NPI 1265489298

WICHITA FALLS GASTROENTEROLOGY ASSOCIATES is a healthcare provider. based in Wichita falls, Texas. specializing in Gastroenterology Physician. The NPI Number for WICHITA FALLS GASTROENTEROLOGY ASSOCIATES is 1265489298

Main info

Organization
Name
WICHITA FALLS GASTROENTEROLOGY ASSOCIATES
NPI
1265489298
Phone
(940) 687-6870
Address
1104 BROOK AVE
Authorized Official
LOUIS WILSON REGISTERED AGENT M.D.
Enumeration Date
27 May 2006
Last Update Date
27 October 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for WICHITA FALLS GASTROENTEROLOGY ASSOCIATES

  • Wichita Falls Gastroenterology Associates, 1104, Brook Avenue, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763015049

    Phone: (940) 687-6870

    Fax: (940) 687-6871

    Mailing address matches the actual address.

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: 2006-05-09

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
O20060509000864OClinic/Group PracticeTXTBD

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

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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 76301)

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Reviews

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Frequently asked questions

What is WICHITA FALLS GASTROENTEROLOGY ASSOCIATES's NPI number?
WICHITA FALLS GASTROENTEROLOGY ASSOCIATES's NPI is 1265489298 — the number used across U.S. healthcare to identify this provider.
Is WICHITA FALLS GASTROENTEROLOGY ASSOCIATES shown as active in public data?
Registry records indicate WICHITA FALLS GASTROENTEROLOGY ASSOCIATES maintains an active NPI.
What area of care is associated with WICHITA FALLS GASTROENTEROLOGY ASSOCIATES?
WICHITA FALLS GASTROENTEROLOGY ASSOCIATES's record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is WICHITA FALLS GASTROENTEROLOGY ASSOCIATES located near Wichita Falls?
WICHITA FALLS GASTROENTEROLOGY ASSOCIATES currently maps to Wichita Falls, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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