Satellite Healthcare of Austin LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Austin, TX
NPI 1023639739 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1023639739
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- SATELLITE HEALTHCARE OF AUSTIN LLC
- Practice address
- 9811 S Interstate Highway 35 Ste 100
Austin, TX 78744-7901 - Phone
- (512) 735-6300
- Fax
- (512) 292-1465
- NPI assigned
- May 4, 2020
- Organization subpart
- No
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Authorized Official - President/Cha
- Phone
- (214) 736-2700
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 10
Member of 2
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2076611 | Wellbound of South Austin | Certificate of waiver | Apr 22, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200707000101 | TX | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 0840611646 | Practice locations: Austin, TX |
National Provider Directory
- Tax ID family
- Satellite Healthcare of Austin LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
9811 S Interstate Highway 35 Ste 100
Austin, TX 78744-7901
Mailing address
300 Santana Row Ste 300
San Jose, CA 95128-2424
Phone (650) 404-3655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110578 | Other | TX | STATE LICENSE |
Other names
- Satellite WellBound South Austin
Other providers in Austin, TX
- Emily Grace Satel
- Satellite Healthcare Central States LLC
- Satellite Healthcare Central States LLC
- Satellite Healthcare Central States LLC
- Satellite Healthcare Central States LLC
- Satellite Healthcare of Austin LLC
- Satellite Healthcare of Austin LLC
- Satellite Healthcare of Austin LLC
- Satellite Healthcare of Austin LLC
- Satellite Healthcare of Austin LLC
All providers in Austin, TX · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.