Organization Active NPI

Arise Medical Group

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1003549767
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ARISE MEDICAL GROUP
Practice address
3003 Bee Caves Rd
Austin, TX 78746-5542
Phone
(512) 314-3800
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Michael Aguilar
Title
Director Revenue Cycle
Phone
(512) 299-4164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3003 Bee Caves Rd
Austin, TX 78746-5542

Mailing address

3003 Bee Caves Rd
Austin, TX 78746-5542
Phone (512) 314-3800

Other identifiers 1

IdentifierTypeStateIssuer
H000TF1501OtherTXBCBS

Other names 1

  • The Practice at Westlake Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Mail Arise Healthcare System, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221003002610 TX Part B Supplier - Clinic/Group Practice 8325424070 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory
Tax ID family
Arise Healthcare System LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3003 Bee Caves Rd
Ste 205
Austin, TX 78746

3003 Bee Caves Rd
Ste 200
Austin, TX 78746
Phone (512) 410-0767

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1003549767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 BEE CAVES RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465542",
            "telephone_number": "512-314-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 BEE CAVES RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465542",
            "telephone_number": "512-314-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "512-299-4164"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H000TF1501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mail",
            "affiliation": "Y",
            "affiliationName": "Arise Healthcare System, LLC",
            "address_1": "3003 Bee Caves Rd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787465542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Practice at Westlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.