Individual provider Active NPI

Jason B Holinbeck

  • Sports Medicine (Family Medicine) Physician
  • Austin, TX
National Provider Identifier
1003106766
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
Q5429 Issued in TX
Practice address
1301 W 38TH St Ste 102
Austin, TX 78705-1010
Phone
(512) 454-4561
Fax
(512) 406-7330
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X Q5429 TX Primary

Addresses

Primary practice location

1301 W 38TH St Ste 102
Austin, TX 78705-1010

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142
Phone (512) 483-9596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014001528 TX Practitioner - Sports MedicinePractitioner - Family Practice 3173764917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Medical College of Wisconsin, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1301 W 38TH St
102 Arc Medical Park Tower Ortho
Austin, TX 78705-1010
Phone (512) 454-4561

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Austin Regional Clinic, PA CurrentSince Oct 4, 2022 Accepting new patients
Austin Regional Clinic, PA CurrentSince Oct 4, 2022 Accepting new patients

Locations

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Austin, TX 78723

1301 W 38th St
Ste 102
Austin, TX 78705
Phone (512) 454-4561

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024

1518 9th St
Wichita Falls, TX 76301
Phone (940) 764-3055

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

Interoperability endpoints

  • Direct secure messaging: jholinbeck27581@arcmd.direct-ci.com
  • Direct secure messaging: jholinbeck13965@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4
  • FHIR API: https://mobileprod.arcmd.com/FHIR/api/FHIR/R4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1003106766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-483-9596",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051010",
            "telephone_number": "512-454-4561",
            "fax_number": "512-406-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLINBECK",
        "first_name": "JASON",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q5429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.