Organization Active NPI

Anant I Patel, MD PA

  • Neurological Surgery Physician
  • Austin, TX
National Provider Identifier
1043405780
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
K4982 Issued in TX
Legal business name
ANANT I PATEL, MD PA
Doing business as
Central Texas Brain and Spine
Practice address
12180 N Mopac Expy
Ste B
Austin, TX 78758-2909
Phone
(512) 617-2810
Fax
(512) 814-0018
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Teress Rene Smith
Title
Office Manager
Phone
(512) 837-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X K4982 TX Primary

Addresses

Primary practice location

12180 N Mopac Expy
Ste B
Austin, TX 78758-2909

Mailing address

12180 N Mopac Expy
Ste B
Austin, TX 78758-2909
Phone (512) 617-6767

Other identifiers 1

IdentifierTypeStateIssuer
179612001MedicaidTX

Other names 1

  • Central Texas Brain and Spine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address teress@ctbsmd.com Direct

National Provider Directory

National Provider Directory

Locations

16040 Park Valley Dr
#B100
Round Rock, TX 78681
Phone (512) 218-1222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6702/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1043405780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 N MOPAC EXPY",
            "address_2": "STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582909",
            "telephone_number": "512-617-6767",
            "fax_number": "512-617-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 N MOPAC EXPY",
            "address_2": "STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582909",
            "telephone_number": "512-617-2810",
            "fax_number": "512-814-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANT I PATEL, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERESS",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-837-7999"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "K4982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179612001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teress@ctbsmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12180 N Mopac Expy",
            "address_2": "Ste B",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787582909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Central Texas Brain and Spine",
            "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 Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.