Individual provider Active NPI

Michael Musgrove, MD

  • Psychiatry Physician
  • Round Rock, TX
National Provider Identifier
1033166368
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M3334 Issued in TX
Practice address
1201 Sam Bass Rd
Round Rock, TX 78681-4137
Phone
(512) 964-6992
Fax
(512) 388-0373
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M3334 TX Primary

Addresses

Primary practice location

1201 Sam Bass Rd
Round Rock, TX 78681-4137

Mailing address

1201 Sam Bass Rd
Round Rock, TX 78681-4137
Phone (512) 964-6992

Other identifiers 1

IdentifierTypeStateIssuer
1862104-02MedicaidTX

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
I20061024000144 TX Practitioner - Psychiatry 4486651064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Round Rock Mental Health PAGroup PAC ID 8224108840, 8 clinicians

Practice addresses (Care Compare)

1717 N Ih 35
200 Central Texas Mental Health
Round Rock, TX 78664-2901
Phone (512) 964-6992

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Round Rock Mental Health PA Psychiatry CurrentSince Apr 1, 2008 Accepting new patients
Allergy and Asthma Clinic of Central Texas, PA PastSince Feb 1, 2019 Accepting new patients

Locations

4204 E Stan Schlueter Loop
Killeen, TX 76542
Phone (254) 690-2800

1201 Sam Bass Rd
Round Rock, TX 78681
Phone (512) 388-1861

Organizations & group practices 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1033166368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SAM BASS RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814137",
            "telephone_number": "512-964-6992",
            "fax_number": "512-388-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SAM BASS RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814137",
            "telephone_number": "512-964-6992",
            "fax_number": "512-388-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M3334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1862104-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.