Individual provider Active NPI

Geoffrey Michael Crimmins, MD

  • Interventional Cardiology Physician
  • Cedar Park, TX
National Provider Identifier
1053524785
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P6365 Issued in TX
Practice address
1401 Medical Pkwy # B
Ste. 407
Cedar Park, TX 78613-7763
Phone
(512) 249-7190
Fax
(512) 249-0438
NPI assigned
May 8, 2007
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P6365 TX
Interventional Cardiology Physician 207RI0011X P6365 TX Primary

Addresses

Primary practice location

1401 Medical Pkwy # B
Ste. 407
Cedar Park, TX 78613-7763

Mailing address

7800 Shoal Creek Blvd
205-N
Austin, TX 78757-1098
Phone (512) 206-4341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gcrimmins4025@epiccwdv.hcadirect.net

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
I20130807000933 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6002980091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Massachusetts Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

1401 Medical Pkwy
Suite 407
Cedar Park, TX 78613-5015
Phone (512) 249-7190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting45
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease CurrentSince Aug 1, 2013 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

7800 Shoal Creek Blvd
Ste 205N
Austin, TX 78757
Phone (512) 206-4300

1401 Medical Pkwy
Ste 300
Cedar Park, TX 78613
Phone (512) 249-7190

1401 Medical Pkwy
Ste 407
Cedar Park, TX 78613
Phone (512) 249-7190

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

Interoperability endpoints

  • Direct secure messaging: 2303-crimmins-geoffrey@direct.leadingreach.com
  • Direct secure messaging: gcrimmins4025@epiccwdv.hcadirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053524785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD",
            "address_2": "205-N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571098",
            "telephone_number": "512-206-4341",
            "fax_number": "512-407-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY # B",
            "address_2": "STE. 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137763",
            "telephone_number": "512-249-7190",
            "fax_number": "512-249-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "GEOFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P6365",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P6365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcrimmins4025@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "1401 Medical Pkwy # B",
            "address_2": "STE. 407",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786137763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.