Individual provider Active NPI

Faustin M. Bahizi

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1043826480
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15131 Issued in TX
Practice address
11111 Research Blvd Ste 320
Austin, TX 78759-5732
Phone
(877) 800-5722
NPI assigned
Sep 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 PA15131 TX Primary

Addresses

Primary practice location

11111 Research Blvd Ste 320
Austin, TX 78759-5732

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

926 Maryland Ave
Syracuse, NY 13210-2504
Phone (512) 621-1291

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
I20211223000239 TX Practitioner - Physician Assistant 3870984065 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15131TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Apr 25, 2022 Accepting new patients
Lone Star Circle of Care CurrentSince Apr 25, 2022 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

11111 Research Blvd
Ste 320
Austin, TX 78759
Phone (512) 241-7200

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

3950 N A W Grimes Blvd
Ste N301A
Round Rock, TX 78665
Phone (512) 524-9274

Interoperability endpoints

  • Direct secure messaging: faustin.bahizi.p1@direct.lscctx.nextgenshare.com
  • Direct secure messaging: faustin.bahizi.1@29821.direct.athenahealth.com

Organizations & group practices 6

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1043826480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595732",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102504",
            "country_code": "US",
            "telephone_number": "512-621-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHIZI",
        "first_name": "FAUSTIN",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.