| Capitol Gastro, Pa | |
|
12701 Rr 620 N Ste 101 Austin TX 78750-1141 | |
| (512) 593-6022 | |
| (512) 599-9130 |
| Full Name | Capitol Gastro, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12701 Rr 620 N Ste 101, Austin, Texas |
| Authorized Official Name and Position | Masi Khaja (OWNER) |
| Authorized Official Contact | 8306377761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Gastro, Pa 12701 Rr 620 N Ste 101 Austin TX 78750-1141 Ph: (512) 593-6022 | Capitol Gastro, Pa 12701 Rr 620 N Ste 101 Austin TX 78750-1141 Ph: (512) 593-6022 |
| NPI Number | 1588198808 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 11/18/2019 |
| Medicare PECOS PAC ID | 9234416884 |
|---|---|
| Medicare Enrollment ID | O20170508002265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588198808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Sridhar P Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134123938 PECOS PAC ID: 8325951718 Enrollment ID: I20031117000242 |
| Provider Name | Apurva Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871771857 PECOS PAC ID: 6305911207 Enrollment ID: I20120816000964 |
| Provider Name | Crystal M Bowden Mckay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871810069 PECOS PAC ID: 0749427441 Enrollment ID: I20131028000777 |
| Provider Name | Masi Khaja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982642526 PECOS PAC ID: 6709898372 Enrollment ID: I20151005002754 |
| Provider Name | Syed M Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548376312 PECOS PAC ID: 4486687266 Enrollment ID: I20190130001066 |
| Provider Name | Tomoko Hattori |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164087417 PECOS PAC ID: 6608100912 Enrollment ID: I20190620000365 |
| Provider Name | Consuleo V Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053059196 PECOS PAC ID: 6901279256 Enrollment ID: I20230307001684 |
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 |