| Hni Physician Services Of Texas, Inc | |
|
7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 | |
| (512) 730-3056 | |
| (888) 730-1925 |
| Full Name | Hni Physician Services Of Texas, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7500 Rialto Blvd Ste 1-140, Austin, Texas |
| Authorized Official Name and Position | Ryan Carletti (VP OF OPERATIONS) |
| Authorized Official Contact | 4405425000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hni Physician Services Of Texas, Inc 7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 Ph: (512) 730-3056 | Hni Physician Services Of Texas, Inc 7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 Ph: (512) 730-3056 |
| NPI Number | 1538729744 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 5092128710 |
|---|---|
| Medicare Enrollment ID | O20210119000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538729744 | NPI | - | NPPES |
| Provider Name | Prakash Hegde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053382754 PECOS PAC ID: 2365340361 Enrollment ID: I20031229000900 |
| Provider Name | Maria Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790890929 PECOS PAC ID: 3971494733 Enrollment ID: I20040322001171 |
| Provider Name | Song Md Hong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043311806 PECOS PAC ID: 9537129390 Enrollment ID: I20041015000296 |
| Provider Name | Wuju Dukja Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134105752 PECOS PAC ID: 6709833841 Enrollment ID: I20050331001217 |
| Provider Name | Michael L Mcmahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548240641 PECOS PAC ID: 0941239578 Enrollment ID: I20050808000536 |
| Provider Name | Syed H. Mehdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992762488 PECOS PAC ID: 9830100759 Enrollment ID: I20060508000111 |
| Provider Name | Venkatasubbaraya Chowdary Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693648 PECOS PAC ID: 2163423047 Enrollment ID: I20070119000054 |
| Provider Name | Juan J Garrastegui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497814297 PECOS PAC ID: 0941300701 Enrollment ID: I20070709000281 |
| Provider Name | Louis Pulicicchio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861437733 PECOS PAC ID: 4385745397 Enrollment ID: I20070720000413 |
| Provider Name | Nancy Asamoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023135639 PECOS PAC ID: 1355435793 Enrollment ID: I20070917000392 |
| Provider Name | Reuben Tovar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174567705 PECOS PAC ID: 3577653534 Enrollment ID: I20071214000476 |
| Provider Name | Mark R Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427055102 PECOS PAC ID: 8729163233 Enrollment ID: I20080307000499 |
| Provider Name | Chukwudi Eke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801066733 PECOS PAC ID: 7012078553 Enrollment ID: I20081203000142 |
| Provider Name | Luis J Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326284514 PECOS PAC ID: 0749337285 Enrollment ID: I20090420000527 |
| Provider Name | Aroon Kalakunja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801857636 PECOS PAC ID: 2961491188 Enrollment ID: I20090707000612 |
| Provider Name | Daria B Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235199613 PECOS PAC ID: 5092731893 Enrollment ID: I20090820000781 |
| Provider Name | Daniel Scheurich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659396539 PECOS PAC ID: 7810082724 Enrollment ID: I20090831000209 |
| Provider Name | Mohammad K Khedr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427051705 PECOS PAC ID: 5496731341 Enrollment ID: I20100113000206 |
| Provider Name | Edgar Alberto Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370176 PECOS PAC ID: 4385700434 Enrollment ID: I20100607000155 |
| Provider Name | Muhammad Umair R Qamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235148370 PECOS PAC ID: 6002814530 Enrollment ID: I20100727000459 |
| Provider Name | Jimmie Earl Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225124506 PECOS PAC ID: 1951425057 Enrollment ID: I20100826000218 |
| Provider Name | Adriana Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053515619 PECOS PAC ID: 2567588585 Enrollment ID: I20100928000654 |
| Provider Name | Celia E Pantoja Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659496180 PECOS PAC ID: 2365535861 Enrollment ID: I20100928000737 |
| Provider Name | Payal Nangia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619136611 PECOS PAC ID: 3870786585 Enrollment ID: I20101026000314 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | Qin Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720271489 PECOS PAC ID: 1557543360 Enrollment ID: I20110315000343 |
| Provider Name | Patricia D Copley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619912979 PECOS PAC ID: 5294768206 Enrollment ID: I20110622000678 |
| Provider Name | Hashim Khan Mohmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558328229 PECOS PAC ID: 0941240147 Enrollment ID: I20110714000433 |
| Provider Name | Mobin Aslam Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205936937 PECOS PAC ID: 0547222770 Enrollment ID: I20110812000365 |
| Provider Name | Olumayowa Adefunke Aderinto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841447992 PECOS PAC ID: 6204004906 Enrollment ID: I20110815000583 |
| Provider Name | George Edward Manoukian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619265485 PECOS PAC ID: 9436322872 Enrollment ID: I20111101000263 |
| Provider Name | Syed Saleem Ia Shamsee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497742746 PECOS PAC ID: 8123129194 Enrollment ID: I20111205000734 |
| Provider Name | Edward Chieke Nwanegbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891955944 PECOS PAC ID: 6002931227 Enrollment ID: I20120713000563 |
| Provider Name | Marcus La Velle Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982837464 PECOS PAC ID: 8527214139 Enrollment ID: I20120815000227 |
| Provider Name | Fidelis Ajobome Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20121011000852 |
| Provider Name | Olayinka O Holt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871876011 PECOS PAC ID: 7618128349 Enrollment ID: I20121106000488 |
| Provider Name | Stephanie Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497732135 PECOS PAC ID: 8729989918 Enrollment ID: I20130530000014 |
| Provider Name | Cary E Fechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649235714 PECOS PAC ID: 2567354632 Enrollment ID: I20130708000186 |
| Provider Name | Kellee Lorraine Randle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932449055 PECOS PAC ID: 1850533274 Enrollment ID: I20130815000097 |
| Provider Name | Uchenna Christopher Ozuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578883377 PECOS PAC ID: 9830367432 Enrollment ID: I20130916000294 |
| Provider Name | Ukana Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356628812 PECOS PAC ID: 8527293331 Enrollment ID: I20131104000885 |
| Provider Name | Christian Edward Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477724888 PECOS PAC ID: 9931270154 Enrollment ID: I20131211000399 |
| Provider Name | Stella Ndukwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811286941 PECOS PAC ID: 9133148372 Enrollment ID: I20131214000061 |
| Provider Name | Muhammad Ajmal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184873234 PECOS PAC ID: 9830369156 Enrollment ID: I20140117000051 |
| Provider Name | Asma F Lakhva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215258728 PECOS PAC ID: 3274761374 Enrollment ID: I20140117001177 |
| Provider Name | Yasir Lal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225220783 PECOS PAC ID: 7315010527 Enrollment ID: I20140403001955 |
| Provider Name | Ayuk Makia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518198407 PECOS PAC ID: 4587700968 Enrollment ID: I20140505000503 |
| Provider Name | Alok Desh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780979823 PECOS PAC ID: 7618193194 Enrollment ID: I20140717002137 |
| Provider Name | Amer A Quaddoura |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104875285 PECOS PAC ID: 3173424074 Enrollment ID: I20140924000898 |
| Provider Name | Hawkins Uweh Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362132 PECOS PAC ID: 3779703707 Enrollment ID: I20140925001424 |
| Provider Name | Rohit J Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366750630 PECOS PAC ID: 8921278318 Enrollment ID: I20140925001996 |
| Provider Name | Deepthi Narasimhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427337930 PECOS PAC ID: 6103047402 Enrollment ID: I20141030002058 |
| Provider Name | Luis C Olivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164721809 PECOS PAC ID: 9133352248 Enrollment ID: I20141110000675 |
| Provider Name | Naga Maruthi Kumar Perisetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238922 PECOS PAC ID: 8729254883 Enrollment ID: I20141112000116 |
| Provider Name | Katy M Deljoui Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700012143 PECOS PAC ID: 0446497911 Enrollment ID: I20141216002263 |
| Provider Name | Jenny Lynn Carreon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841547759 PECOS PAC ID: 2163745480 Enrollment ID: I20141217002257 |
| Provider Name | Majaz Ali Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336175231 PECOS PAC ID: 4688566177 Enrollment ID: I20141231000930 |
| Provider Name | Olukayode A Bamgbelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164677845 PECOS PAC ID: 1557496965 Enrollment ID: I20141231001889 |
| Provider Name | Adarsh Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144585043 PECOS PAC ID: 3274755590 Enrollment ID: I20150122000481 |
| Provider Name | Shahrukh Hussain Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659631869 PECOS PAC ID: 1052632692 Enrollment ID: I20150608001057 |
| Provider Name | Akash K Attreya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619239670 PECOS PAC ID: 7810131158 Enrollment ID: I20150728003464 |
| Provider Name | Cesar Garza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952663916 PECOS PAC ID: 8224272513 Enrollment ID: I20150810002364 |
| Provider Name | Charles O Olisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265582837 PECOS PAC ID: 9436215019 Enrollment ID: I20150825005019 |
| Provider Name | Shahid Badar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528113172 PECOS PAC ID: 0840230538 Enrollment ID: I20160125000636 |
| Provider Name | Emmanuel Okolo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629316609 PECOS PAC ID: 8022206416 Enrollment ID: I20160208001730 |
| Provider Name | Santosh Kale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649490418 PECOS PAC ID: 5496940983 Enrollment ID: I20160218002311 |
| Provider Name | Khaled A Sherif |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164736955 PECOS PAC ID: 4587961453 Enrollment ID: I20160322000252 |
| Provider Name | Arturo Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649563925 PECOS PAC ID: 8426270950 Enrollment ID: I20160725000138 |
| Provider Name | Ramon De La Torre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114271699 PECOS PAC ID: 2062705205 Enrollment ID: I20160725003024 |
| Provider Name | Kolawole Omodayo Atandeyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669608436 PECOS PAC ID: 8527222926 Enrollment ID: I20160830002264 |
| Provider Name | Min Jeong Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861748139 PECOS PAC ID: 0941597439 Enrollment ID: I20160927002360 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161213001601 |
| Provider Name | Thien A Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477872505 PECOS PAC ID: 8921303801 Enrollment ID: I20170123001354 |
| Provider Name | Olatunji Sarafadeen Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20170201000371 |
| Provider Name | Sandra Tarapasade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326461021 PECOS PAC ID: 9931482452 Enrollment ID: I20170208000223 |
| Provider Name | Julia Cosma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194711515 PECOS PAC ID: 0749207991 Enrollment ID: I20170517001387 |
| Provider Name | Luis Carlos Corral Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164835195 PECOS PAC ID: 7810267390 Enrollment ID: I20170717000256 |
| Provider Name | Anas Al Hallak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386059046 PECOS PAC ID: 4880964162 Enrollment ID: I20170719001497 |
| Provider Name | Jose S Perales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699200337 PECOS PAC ID: 5597036913 Enrollment ID: I20170803001574 |
| Provider Name | Lu Pan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477843449 PECOS PAC ID: 3779862396 Enrollment ID: I20170804001383 |
| Provider Name | Mohammad Makkouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467864686 PECOS PAC ID: 7315246519 Enrollment ID: I20170829000164 |
| Provider Name | Nathaniel Conley Cassell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518302470 PECOS PAC ID: 0648543934 Enrollment ID: I20170908000315 |
| Provider Name | Sushanta K Goswami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366548547 PECOS PAC ID: 1254229065 Enrollment ID: I20170919001260 |
| Provider Name | Kris Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437560646 PECOS PAC ID: 0042512592 Enrollment ID: I20171004002400 |
| Provider Name | Krisdaniel Secuya Te |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144648981 PECOS PAC ID: 7911272695 Enrollment ID: I20171005001311 |
| Provider Name | Tobore Kokoricha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962496307 PECOS PAC ID: 4284696865 Enrollment ID: I20171201000785 |
| Provider Name | Qing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295178507 PECOS PAC ID: 0547541807 Enrollment ID: I20171219002964 |
| Provider Name | Thar Elbaage |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851336341 PECOS PAC ID: 2163316688 Enrollment ID: I20171220000244 |
| Provider Name | Anita Vinjirayer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962764704 PECOS PAC ID: 1850617937 Enrollment ID: I20180226002204 |
| Provider Name | William Harold Hatch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700233970 PECOS PAC ID: 9638432396 Enrollment ID: I20180410002147 |
| Provider Name | Alejandro Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528322476 PECOS PAC ID: 1759697303 Enrollment ID: I20180712001253 |
| Provider Name | Dhafer Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467855973 PECOS PAC ID: 8921356429 Enrollment ID: I20180731001733 |
| Provider Name | Aviral C Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669852273 PECOS PAC ID: 0941599567 Enrollment ID: I20180731002646 |
| Provider Name | Disni Muringampurath John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164801569 PECOS PAC ID: 8325357775 Enrollment ID: I20180813000770 |
| Provider Name | Vanessa Chika Nzeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689093965 PECOS PAC ID: 3274882485 Enrollment ID: I20180822000344 |
| Provider Name | Jorge Ernesto Perez Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497041370 PECOS PAC ID: 3173824760 Enrollment ID: I20180831001069 |
| Provider Name | Omar Abine Ayah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467838185 PECOS PAC ID: 8628329299 Enrollment ID: I20180920000726 |
| Provider Name | Brittany Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962990390 PECOS PAC ID: 0648522110 Enrollment ID: I20181010003143 |
| Provider Name | Wesley K Biwott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083196802 PECOS PAC ID: 9436401874 Enrollment ID: I20181011002524 |
| Provider Name | Ismael Cantu Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669889291 PECOS PAC ID: 0941594816 Enrollment ID: I20181024000111 |
| Provider Name | Mario Alberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043798101 PECOS PAC ID: 5193063527 Enrollment ID: I20190211001849 |
| Provider Name | Afsheen Masood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548666373 PECOS PAC ID: 1658658984 Enrollment ID: I20190711002278 |
| Provider Name | Jose Adan Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174987820 PECOS PAC ID: 1658669577 Enrollment ID: I20190726001489 |
| Provider Name | Ebony N Raymond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609230812 PECOS PAC ID: 1759678295 Enrollment ID: I20190822002634 |
| Provider Name | Uma K Bhat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831519818 PECOS PAC ID: 5890061360 Enrollment ID: I20190826001965 |
| Provider Name | Armando Gonzalez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275914566 PECOS PAC ID: 7719279801 Enrollment ID: I20191021000040 |
| Provider Name | Inyang Ndebbio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710346630 PECOS PAC ID: 7810320280 Enrollment ID: I20191126001740 |
| Provider Name | Ebima C Okundaye |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063546406 PECOS PAC ID: 9436221074 Enrollment ID: I20191218001493 |
| Provider Name | Michael Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801117395 PECOS PAC ID: 2365761798 Enrollment ID: I20200109002722 |
| Provider Name | Benn Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871134312 PECOS PAC ID: 2264868769 Enrollment ID: I20200131000947 |
| Provider Name | Hector E Santiago Belledonne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487852919 PECOS PAC ID: 4385885268 Enrollment ID: I20200205000318 |
| Provider Name | Bilal Nazif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194170282 PECOS PAC ID: 1052600756 Enrollment ID: I20200226000951 |
| Provider Name | Wagner Vaz Guimaraes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659786044 PECOS PAC ID: 8426489535 Enrollment ID: I20200505001784 |
| Provider Name | Lance Nicholas Blau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649530668 PECOS PAC ID: 8921435108 Enrollment ID: I20200625001792 |
| Provider Name | Daniel K Apau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457973547 PECOS PAC ID: 5193147791 Enrollment ID: I20200629001943 |
| Provider Name | Oluwaseun Davies |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164779179 PECOS PAC ID: 6002127990 Enrollment ID: I20200714003870 |
| Provider Name | Gregory Vo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154856318 PECOS PAC ID: 4587935150 Enrollment ID: I20200721003536 |
| Provider Name | Abid Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043731961 PECOS PAC ID: 5395168298 Enrollment ID: I20200803002800 |
| Provider Name | Oluwabomilasiri Magnus-lawson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588911390 PECOS PAC ID: 6305104894 Enrollment ID: I20200817000664 |
| Provider Name | Chukuemeka Odita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962613497 PECOS PAC ID: 9830276849 Enrollment ID: I20200826001340 |
| Provider Name | Luis Segura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689194789 PECOS PAC ID: 6507131018 Enrollment ID: I20200827000735 |
| Provider Name | Florence I Adimora-nweke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184042038 PECOS PAC ID: 7214201797 Enrollment ID: I20200828000915 |
| Provider Name | Vikas Punjabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780874313 PECOS PAC ID: 3476677675 Enrollment ID: I20200925000196 |
| Provider Name | Cindy Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275066250 PECOS PAC ID: 7810317880 Enrollment ID: I20201013000641 |
| Provider Name | Njideka D Oguejiofor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053840884 PECOS PAC ID: 1052680816 Enrollment ID: I20201021003342 |
| Provider Name | Omar Abumahfouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20201109000656 |
| Provider Name | Tristan Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790196616 PECOS PAC ID: 8325355563 Enrollment ID: I20201123000730 |
| Provider Name | Sadia Ghias Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578095121 PECOS PAC ID: 5294073631 Enrollment ID: I20201130002227 |
| Provider Name | Hamza Aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306230362 PECOS PAC ID: 4789933128 Enrollment ID: I20210115001298 |
| Provider Name | Jatinder Hothi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598079659 PECOS PAC ID: 6406156967 Enrollment ID: I20210125000217 |
| Provider Name | Fahad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922347400 PECOS PAC ID: 0244510584 Enrollment ID: I20210128000334 |
| Provider Name | Frances Ebo Anagor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144751538 PECOS PAC ID: 4183039928 Enrollment ID: I20210209001284 |
| Provider Name | Chad Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619357209 PECOS PAC ID: 7810295193 Enrollment ID: I20210223000959 |
| Provider Name | Nina Nwoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689261679 PECOS PAC ID: 7416363445 Enrollment ID: I20210317000147 |
| Provider Name | Lesly Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619187846 PECOS PAC ID: 3476621129 Enrollment ID: I20210329002522 |
| Provider Name | Nelayda Fonte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710975354 PECOS PAC ID: 9436046539 Enrollment ID: I20210405000474 |
| Provider Name | Rachel White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770819047 PECOS PAC ID: 2769899061 Enrollment ID: I20210405000698 |
| Provider Name | Ravali Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285802892 PECOS PAC ID: 0547427346 Enrollment ID: I20210420000472 |
| Provider Name | Tina Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154945541 PECOS PAC ID: 3173947272 Enrollment ID: I20210512001708 |
| Provider Name | Joseph Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034020 PECOS PAC ID: 6002893468 Enrollment ID: I20210526003101 |
| Provider Name | Micheal Ogorchukwu Anyirah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184112724 PECOS PAC ID: 6709287923 Enrollment ID: I20210625001014 |
| Provider Name | Jennifer Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891371969 PECOS PAC ID: 1850793274 Enrollment ID: I20210708000057 |
| Provider Name | Joseph M Sturdivant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053514455 PECOS PAC ID: 7517123342 Enrollment ID: I20210719002446 |
| Provider Name | Roberto Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841887221 PECOS PAC ID: 6406259902 Enrollment ID: I20210721002294 |
| Provider Name | Mark Nicholas Ziats |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356790091 PECOS PAC ID: 5597050005 Enrollment ID: I20210805002578 |
| Provider Name | Banyar Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306342282 PECOS PAC ID: 4981941911 Enrollment ID: I20210811000468 |
| Provider Name | Luther Sintim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477940856 PECOS PAC ID: 8325342926 Enrollment ID: I20210811003267 |
| Provider Name | Faiyaz Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447542832 PECOS PAC ID: 8628356714 Enrollment ID: I20210920001176 |
| Provider Name | Dzmitry Zhmurouski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427478965 PECOS PAC ID: 5597014787 Enrollment ID: I20210924001901 |
| Provider Name | Hector David Gallego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568720779 PECOS PAC ID: 1759601842 Enrollment ID: I20210927002946 |
| Provider Name | Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700378148 PECOS PAC ID: 2062819451 Enrollment ID: I20210928002238 |
| Provider Name | Vivian Ekechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518457662 PECOS PAC ID: 5193127744 Enrollment ID: I20211007000695 |
| Provider Name | Adewale Bamidele Ogunoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144717422 PECOS PAC ID: 0345599510 Enrollment ID: I20211018000248 |
| Provider Name | Daphney Claude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063974129 PECOS PAC ID: 2365830502 Enrollment ID: I20211021000316 |
| Provider Name | Vanessa Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023034196 PECOS PAC ID: 3971506072 Enrollment ID: I20211021001624 |
| Provider Name | Dhara Raginkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180026 PECOS PAC ID: 4082951496 Enrollment ID: I20211110001018 |
| Provider Name | Sam Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649289992 PECOS PAC ID: 7416045901 Enrollment ID: I20220126002698 |
| Provider Name | Rukeme Ogaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417449273 PECOS PAC ID: 4880091040 Enrollment ID: I20220203000047 |
| Provider Name | Mohamed Faisal Ali Abusalih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881027126 PECOS PAC ID: 4082845102 Enrollment ID: I20220323001238 |
| Provider Name | Nicholas Latuso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386006294 PECOS PAC ID: 6002191517 Enrollment ID: I20220324000661 |
| Provider Name | Mohammed Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104321082 PECOS PAC ID: 7810394343 Enrollment ID: I20220524000169 |
| Provider Name | Alvaro Tamayo Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083136360 PECOS PAC ID: 7810376563 Enrollment ID: I20220627001103 |
| Provider Name | Michael O Falaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912492943 PECOS PAC ID: 5799192878 Enrollment ID: I20220630000109 |
| Provider Name | Elena Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265994073 PECOS PAC ID: 8820325798 Enrollment ID: I20220708002160 |
| Provider Name | Mena Habib |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477084119 PECOS PAC ID: 0143584870 Enrollment ID: I20220719003778 |
| Provider Name | Umesh Singla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457664195 PECOS PAC ID: 1456656479 Enrollment ID: I20220806000705 |
| Provider Name | Caroline Etok Elad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700401163 PECOS PAC ID: 3173927068 Enrollment ID: I20220829000809 |
| Provider Name | Daniel Artruo Espinosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841851383 PECOS PAC ID: 0941685549 Enrollment ID: I20220919000735 |
| Provider Name | Linda Ekwealor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205399631 PECOS PAC ID: 4688917313 Enrollment ID: I20220926001894 |
| Provider Name | David Enrique Catano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942863170 PECOS PAC ID: 9335474949 Enrollment ID: I20221102003080 |
| Provider Name | Oanh Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952676108 PECOS PAC ID: 2264715192 Enrollment ID: I20221104001500 |
| Provider Name | Yanira Sanchez-de La Torre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497216121 PECOS PAC ID: 9234507740 Enrollment ID: I20221114003133 |
| Provider Name | Oluwafunto Seliat Fashanu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023509940 PECOS PAC ID: 3779818133 Enrollment ID: I20230202000729 |
| Provider Name | Allison Lee Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366104713 PECOS PAC ID: 2860899010 Enrollment ID: I20230202000961 |
| Provider Name | Devaughn Jerron Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184064131 PECOS PAC ID: 0941515704 Enrollment ID: I20230323003172 |
| Provider Name | Marco Antonio Lopez Velazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316399264 PECOS PAC ID: 5799186631 Enrollment ID: I20230327001804 |
| Provider Name | Adham F Abdulamir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730677907 PECOS PAC ID: 7012247349 Enrollment ID: I20230403002765 |
| Provider Name | Rajeev Nagarad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417164831 PECOS PAC ID: 7012054885 Enrollment ID: I20230424002197 |
| Provider Name | Dongyeol Yeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548970486 PECOS PAC ID: 9032578174 Enrollment ID: I20230706004184 |
| Provider Name | Leela Samudra Kantamneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700443728 PECOS PAC ID: 2668876251 Enrollment ID: I20231004000852 |
| Provider Name | Ilona Y Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134640212 PECOS PAC ID: 7911271291 Enrollment ID: I20231101003694 |
| Provider Name | Adebanke Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528206109 PECOS PAC ID: 6204016520 Enrollment ID: I20240510000872 |
| Provider Name | Joseph Belanger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922685866 PECOS PAC ID: 1355883265 Enrollment ID: I20240606003653 |
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 |