Individual provider Active NPI

Michael M. Farris, P.A.

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1043324791
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00994 Issued in TX
Practice address
1301 West 38TH Street Suite 102
Austin, TX 78705-4107
Phone
(512) 454-4561
Fax
(512) 406-7330
NPI assigned
Aug 19, 2006
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00994 TX Primary

Addresses

Primary practice location

1301 West 38TH Street Suite 102
Austin, TX 78705-4107

Mailing address

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other identifiers 2

IdentifierTypeStateIssuer
283246104MedicaidTX
283246105MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000164 TX Practitioner - Physician Assistant 6305975350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of New Mexico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

940 Hesters Crossing Rd
Round Rock, TX 78681-8018
Phone (512) 244-9024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Aug 31, 2017 Accepting new patients
Austin Regional Clinic, PA Physician Assistant CurrentSince Aug 31, 2017 Accepting new patients
Seton Hospitalist Service Past Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients

Locations

1301 W 38th St
Ste 102
Austin, TX 78705
Phone (512) 454-4561

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

801 E Whitestone Blvd
Ste B
Cedar Park, TX 78613
Phone (512) 259-3467

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024

Interoperability endpoints

  • Direct secure messaging: mfarris9151@arcmd.direct-ci.com

Organizations & group practices 5

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1043324791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WEST 38TH STREET SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054107",
            "telephone_number": "512-454-4561",
            "fax_number": "512-406-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "MICHAEL",
        "middle_name": "M.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283246104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283246105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.