Individual provider Active NPI

Gregory Connor, MD

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1013911783
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M0689 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M0689 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers 6

IdentifierTypeStateIssuer
179176602MedicaidTX
179176601MedicaidTX
179176603OtherTXCSCHN1
P00282119OtherRRMCARE1
179176605OtherTXCSCHN2
P00282123OtherRRMCARE2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 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
I20050722000668 TX Practitioner - Diagnostic Radiology 7214914977 Reassigns benefits to 2 organizations
I20240215001893 NV Practitioner - Diagnostic Radiology 7214914977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Ara/St. David's Imaging, LPGroup PAC ID 8426001496, 11 clinicians

Practice addresses (Care Compare)

11714 Wilson Parke Ave
175 Austin Radiological Association Wilson
Austin, TX 78726-0002
Phone (512) 519-3457

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 795-5100

12700 Lexington St
Unit 300
Manor, TX 78653-2012
Phone (512) 776-1158

12800 W Parmer Lane
Suite 200
Cedar Park, TX 78613-7721
Phone (512) 485-7199

1301 W 38TH St
Suite 118
Austin, TX 78705-1010
Phone (512) 454-7380

1348 N Hwy 123
Suite B
San Marcos, TX 78666-7848
Phone (512) 392-1831

1479 Tirol Dr
Incline Village, NV 89451-7903
Phone (512) 795-5100

1500 Red River St
Austin, TX 78701-1918
Phone (512) 795-5100

1601 Trinity St
HTB
Austin, TX 78712-1765
Phone (512) 795-5100

170 Benney LN
Suite 101
Dripping Springs, TX 78620-5566
Phone (512) 776-1176

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 930-5338

3801 N Lamar
Austin, TX 78756-4080
Phone (512) 795-5100

4207 Burnet Rd
Austin, TX 78756-3316
Phone (512) 795-5100

4211 Benner
Suite 100
Kyle, TX 78640-2140
Phone (512) 776-1150

4410 Silent TRL
Austin, TX 78746-1673
Phone (512) 795-5100

4515 Seton Ctr Pkwy
Suite 105
Austin, TX 78759-5268
Phone (512) 519-3402

5625 Eiger Rd
165 Austin Radiological Association Village
Austin, TX 78735-8980
Phone (512) 519-3474

6818 Austin Ctr Blvd
Suite 101
Austin, TX 78731-3199
Phone (512) 795-8505

901 W 38TH St
Suite 100
Austin, TX 78705-1164
Phone (512) 795-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ara/St. David's Imaging, LP CurrentSince Aug 15, 2005 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Sep 27, 2010 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Aug 15, 2005 Accepting new patients
Austin Radiological Association CurrentSince Aug 1, 2005 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Aug 15, 2005 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients
Texas Orthopedics, Sports & Rehabilitation Associates, PA Past Accepting new patients

Locations

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

10900 Stonelake Blvd
Ste 250
Austin, TX 78759

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831

5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407

5656 Bee Caves Rd
Ste G201
West Lake Hills, TX 78746
Phone (512) 439-1005

Organizations & group practices 9

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 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1013911783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M0689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179176602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179176601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSCHN1",
            "identifier": "179176603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE1",
            "identifier": "P00282119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSCHN2",
            "identifier": "179176605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE2",
            "identifier": "P00282123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.