Individual provider Active NPI

Gurpreet Basraon, M.D.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1003341082
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T7164 Issued in TX
Practice address
12201 Renfert Way Ste 105
Austin, TX 78758-5362
Phone
(877) 800-5722
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X T7164 TX Primary
Emergency Medicine Physician 207P00000X 306688 NY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

12201 Renfert Way Ste 105
Austin, TX 78758-5362

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3000

Other practice location 2

2423 Williams Dr Ste 103
Georgetown, TX 78628-3200
Phone (877) 800-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201203002831 NY Practitioner - Pediatric Medicine 8527479039 Reassigns benefits to 1 organization
I20220623000071 TX Practitioner - Pediatric Medicine 8527479039 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306688NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Jul 11, 2022 Accepting new patients
Lone Star Circle of Care CurrentSince Jul 11, 2022 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Lone Star Circle of Care Pediatrics Current Accepting new patients
TBHC Medical Services PC CurrentSince Feb 1, 2021 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

514 Fulton St
Brooklyn, NY 11201
Phone (718) 940-5000

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

12201 Renfert Way
Ste 105
Austin, TX 78758

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

11111 Research Blvd
Ste 295
Austin, TX 78759
Phone (512) 439-1003

2423 Williams Dr
Ste 103
Georgetown, TX 78628

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

Interoperability endpoints

  • Direct secure messaging: gurpreet.basraon.p1@direct.lscctx.nextgenshare.com
  • Direct secure messaging: gurpreet.basraon.1@29821.direct.athenahealth.com
  • Direct secure messaging: gbasraon18138@prd.direct.tbh.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1003341082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585362",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2423 Williams Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786283200",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASRAON",
        "first_name": "GURPREET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T7164",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "306688",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.