Individual provider Active NPI

Katie Lynn Losenno, MD, FRCPC, MSC

  • Pediatric Cardiology Physician
  • Austin, TX
National Provider Identifier
1013723089
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
48260 Issued in TX
Practice address
4910 Mueller Blvd # 102
Austin, TX 78723-3079
Phone
(512) 844-3714
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 48260 TX Primary

Addresses

Primary practice location

4910 Mueller Blvd # 102
Austin, TX 78723-3079

Mailing address

505 Zephyr St
Lakeway, TX 78734-5183

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
I20250310000253 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 6204357031 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48260TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Jan 27, 2025 Accepting new patients
Dell Children'S Medical Group CurrentSince Jan 27, 2025 Accepting new patients
Dell Children'S Medical Group CurrentSince Dec 8, 2024 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

4910 Mueller Blvd
Ste 102
Austin, TX 78723
Phone (512) 777-2917

4910 Mueller Blvd
#102
Austin, TX 78723
Phone (512) 777-2917

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: katie.losennomd.p105@direct.mednax.nextgenshare.com
  • Direct secure messaging: katie.losenno.1@8363.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1013723089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ZEPHYR ST",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MUELLER BLVD # 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-844-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSENNO",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD, FRCPC, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "48260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.