| Austin Gastroenterology, Pllc | |
|
9211 Waterford Centre Blvd Ste 200 Austin TX 78758-7679 | |
| (512) 485-5872 | |
| (512) 420-0397 |
| Full Name | Austin Gastroenterology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9211 Waterford Centre Blvd, Austin, Texas |
| Authorized Official Name and Position | Stephanie Combs (MANAGER) |
| Authorized Official Contact | 5124855878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Gastroenterology, Pllc Po Box 10597 Austin TX 78766-1597 Ph: (512) 420-0186 | Austin Gastroenterology, Pllc 9211 Waterford Centre Blvd Ste 200 Austin TX 78758-7679 Ph: (512) 485-5872 |
| NPI Number | 1316998016 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 03/29/2021 |
| Medicare PECOS PAC ID | 9739174954 |
|---|---|
| Medicare Enrollment ID | O20040417000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316998016 | NPI | - | NPPES |
| 141562201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Pradeep Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093790537 PECOS PAC ID: 4880689017 Enrollment ID: I20040417000183 |
| Provider Name | Chia Wen Hsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568447670 PECOS PAC ID: 5092701201 Enrollment ID: I20040422001433 |
| Provider Name | Vijayrama Poreddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881602621 PECOS PAC ID: 1557332566 Enrollment ID: I20040803001655 |
| Provider Name | Harish Gagneja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235114786 PECOS PAC ID: 2860463775 Enrollment ID: I20040804000614 |
| Provider Name | Carl David Frank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962455105 PECOS PAC ID: 3476593666 Enrollment ID: I20050506000356 |
| Provider Name | Christopher Matthew Godell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164407615 PECOS PAC ID: 0042247629 Enrollment ID: I20050726000237 |
| Provider Name | Benjamin D Havemann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154347870 PECOS PAC ID: 0446259089 Enrollment ID: I20061209000049 |
| Provider Name | Chad J Long |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801865142 PECOS PAC ID: 5991711202 Enrollment ID: I20070814000153 |
| Provider Name | Daniel S Emmett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477651982 PECOS PAC ID: 9830255751 Enrollment ID: I20090302000297 |
| Provider Name | Sushil M Duddempudi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518158427 PECOS PAC ID: 2567533763 Enrollment ID: I20090728000915 |
| Provider Name | Richard M Sperling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881679959 PECOS PAC ID: 0840339263 Enrollment ID: I20091124000642 |
| Provider Name | Scott D Becker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912982596 PECOS PAC ID: 1658410089 Enrollment ID: I20091125000024 |
| Provider Name | Robert L Frachtman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922083039 PECOS PAC ID: 7315086634 Enrollment ID: I20091130000265 |
| Provider Name | Glenn C Robinson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033194592 PECOS PAC ID: 4284773177 Enrollment ID: I20091207000301 |
| Provider Name | Angel Eduardo Alcocer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932184512 PECOS PAC ID: 4880733799 Enrollment ID: I20091207000478 |
| Provider Name | John J Ziebert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205811296 PECOS PAC ID: 9931240512 Enrollment ID: I20100105000024 |
| Provider Name | William N Stassen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548245079 PECOS PAC ID: 9830230416 Enrollment ID: I20100105000035 |
| Provider Name | Kenneth K Ellis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114902228 PECOS PAC ID: 5698816742 Enrollment ID: I20100112000015 |
| Provider Name | Binh V Pham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558371559 PECOS PAC ID: 5991732349 Enrollment ID: I20110124000776 |
| Provider Name | Craig H Lubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033194634 PECOS PAC ID: 3072794288 Enrollment ID: I20110222000276 |
| Provider Name | Fletcher Douglas Srygley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124290416 PECOS PAC ID: 4385768480 Enrollment ID: I20120724000484 |
| Provider Name | Louise Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326276874 PECOS PAC ID: 8123278702 Enrollment ID: I20121016000528 |
| Provider Name | Tara R Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659662799 PECOS PAC ID: 7517104227 Enrollment ID: I20130516000061 |
| Provider Name | Yulia Alexandrovna Lyuboslavsky |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215254024 PECOS PAC ID: 4486896735 Enrollment ID: I20130815000606 |
| Provider Name | Marni Lynne Martinez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669756508 PECOS PAC ID: 4880829100 Enrollment ID: I20131022001891 |
| Provider Name | Harry J Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104086628 PECOS PAC ID: 0345402251 Enrollment ID: I20140829000919 |
| Provider Name | Dorothy Cheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588905277 PECOS PAC ID: 5799003778 Enrollment ID: I20150423001863 |
| Provider Name | Sheila C Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144579699 PECOS PAC ID: 5698095776 Enrollment ID: I20150514000318 |
| Provider Name | Adam Christopher Hafemeister |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225268261 PECOS PAC ID: 5698913119 Enrollment ID: I20150514002116 |
| Provider Name | Rosimeire Beer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883874 PECOS PAC ID: 6204138316 Enrollment ID: I20160106002429 |
| Provider Name | Karthik V Garapati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659717445 PECOS PAC ID: 1254630494 Enrollment ID: I20160601000885 |
| Provider Name | Mark G Cooper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164866430 PECOS PAC ID: 1456641927 Enrollment ID: I20160613001248 |
| Provider Name | John Kai-ling Tsai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437321791 PECOS PAC ID: 8527138536 Enrollment ID: I20170228000241 |
| Provider Name | Erica Burg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013925429 PECOS PAC ID: 0941231468 Enrollment ID: I20170304000101 |
| Provider Name | Shiv K Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285920751 PECOS PAC ID: 9830348374 Enrollment ID: I20170705000584 |
| Provider Name | Anupama T Duddempudi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750591616 PECOS PAC ID: 4486811270 Enrollment ID: I20171010001805 |
| Provider Name | Jianhua Andy Tau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508150053 PECOS PAC ID: 3779846480 Enrollment ID: I20180411001240 |
| Provider Name | Amber Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225527344 PECOS PAC ID: 1759646722 Enrollment ID: I20180522000231 |
| Provider Name | Eimile Dalton-fitzgerald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801156088 PECOS PAC ID: 2365797230 Enrollment ID: I20180618000590 |
| Provider Name | Carina Yvette Rew |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104308188 PECOS PAC ID: 4183969454 Enrollment ID: I20181215000066 |
| Provider Name | David Lee Valadez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902250327 PECOS PAC ID: 3476843657 Enrollment ID: I20190530002840 |
| Provider Name | Navdeep Singh Chehl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730475534 PECOS PAC ID: 8123243714 Enrollment ID: I20190612002161 |
| Provider Name | Melissa P Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065050 PECOS PAC ID: 1254662240 Enrollment ID: I20191004001859 |
| Provider Name | Parastoo Jangouk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528324787 PECOS PAC ID: 4183844178 Enrollment ID: I20200420001746 |
| Provider Name | David D Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174942791 PECOS PAC ID: 9234484833 Enrollment ID: I20200701000390 |
| Provider Name | Vijay S Dalapathi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447679246 PECOS PAC ID: 2466703251 Enrollment ID: I20200701000950 |
| Provider Name | Sanaa Somalya Arastu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629498068 PECOS PAC ID: 4981828787 Enrollment ID: I20200824003009 |
| Provider Name | Jessica Lynn Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215603477 PECOS PAC ID: 1557768736 Enrollment ID: I20210930003016 |
| Provider Name | Venkata Sumana Kumarappa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891008900 PECOS PAC ID: 5698999449 Enrollment ID: I20220224000047 |
| Provider Name | Robert W Klapheke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891113288 PECOS PAC ID: 6406089044 Enrollment ID: I20220520000280 |
| Provider Name | Sanjana Luther |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023467198 PECOS PAC ID: 1557740727 Enrollment ID: I20220617001172 |
| Provider Name | Neeraj Mangla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912327529 PECOS PAC ID: 0345512059 Enrollment ID: I20220711000716 |
| Provider Name | Channing C Drummond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740693670 PECOS PAC ID: 7719106921 Enrollment ID: I20221129002726 |
| Provider Name | Sarah Renee Lear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902516537 PECOS PAC ID: 0244601722 Enrollment ID: I20230119002295 |
| Provider Name | Jesse Neil Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144849985 PECOS PAC ID: 3476979378 Enrollment ID: I20240103001338 |
| Provider Name | Madison Annette Jolliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891552543 PECOS PAC ID: 8527406305 Enrollment ID: I20240329002639 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Texas Medclinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |