Active NPI
Nirp Waco PLLC
- Interventional Cardiology Physician
- Austin, TX
National Provider Identifier
1033674312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- NIRP WACO PLLC
- Practice address
- 8611 N Mopac Expy, Ste 250
Austin, TX 78759-7875 - Phone
- (281) 888-9999
- Fax
- (281) 305-4054
- NPI assigned
- Jan 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Ekansh Gomes, MD
- Title
- Authorized Official
- Phone
- (281) 888-8999
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Interventional Cardiology Physician | 207RI0011X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
8611 N Mopac Expy, Ste 250
Austin, TX 78759-7875
Mailing address
PO Box 735792
Dallas, TX 75373-5792
Phone (281) 888-8999
Other practice location 1
3101 State Hwy 71
Ste 101
Bastrop, TX 78602-5159
Phone (281) 888-8999
Other names 2
- PAD Specialists
- PAD Specialists - Austin
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689724800000",
"number": "1033674312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735792",
"city": "DALLAS",
"state": "TX",
"postal_code": "753735792",
"telephone_number": "281-888-8999",
"fax_number": "281-305-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8611 N MOPAC EXPY, STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787597875",
"telephone_number": "281-888-9999",
"fax_number": "281-305-4054"
}
],
"practiceLocations": [
{
"address_1": "3101 State Hwy 71",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Bastrop",
"state": "TX",
"postal_code": "786025159",
"country_code": "US",
"telephone_number": "281-888-8999",
"fax_number": "281-305-4054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NIRP WACO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-31",
"last_updated": "2023-07-19",
"certification_date": "2023-07-18",
"status": "A",
"authorized_official_last_name": "GOMES",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "EKANSH",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "281-888-8999",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PAD Specialists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PAD Specialists - Austin",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.