Individual provider Active NPI

Parviz K Kavoussi, MD

  • Urology Physician
  • Austin, TX
National Provider Identifier
1023271301
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M8756 Issued in TX
Practice address
4303 James Casey St
Suite B
Austin, TX 78745-1188
Phone
(512) 444-1414
Fax
(512) 326-5319
NPI assigned
Jul 7, 2008
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M8756 TX Primary

Addresses

Primary practice location

4303 James Casey St
Suite B
Austin, TX 78745-1188

Mailing address

4303 James Casey St
Suite B
Austin, TX 78745-1188
Phone (512) 444-1414

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
I20110419000977 TX Practitioner - UrologyPractitioner - Other (Physician) 7113090911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4303 James Casey St
Suite a
Austin, TX 78745-1188

National Provider Directory

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1023271301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 JAMES CASEY ST",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451188",
            "telephone_number": "512-444-1414",
            "fax_number": "512-326-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 JAMES CASEY ST",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451188",
            "telephone_number": "512-444-1414",
            "fax_number": "512-326-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVOUSSI",
        "first_name": "PARVIZ",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M8756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.