Individual provider Active NPI

Robert J. Wozniak, MD

  • Interventional Cardiology Physician
  • Austin, TX
National Provider Identifier
1063408128
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
K1138 Issued in TX
Practice address
2200 Park Bend Dr
BLDG. 2 Ste. 300
Austin, TX 78758-5387
Phone
(512) 617-6000
Fax
(512) 339-7838
NPI assigned
Sep 23, 2005
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X K1138 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr
BLDG. 2 Ste. 300
Austin, TX 78758-5387

Mailing address

5301 Riata Park CT
BLDG D Suite 200
Austin, TX 78727-3437
Phone (512) 617-6000

Other identifiers 3

IdentifierTypeStateIssuer
045077702MedicaidTX
045077705MedicaidTX
060064378OtherTXMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwozniak7980@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
I20070817000154 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1456443654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

2200 Park Bend
Suite 401
Austin, TX 78758-5509
Phone (512) 807-3160

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 stenting25
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC Interventional Cardiology CurrentSince Sep 1, 2015 Accepting new patients
Texas Cardiovascular Consultants-San Angelo, PA Interventional Cardiology Past Accepting new patients
Texas Cardiovascular Consultants, PA Past Accepting new patients

Locations

4316 James Casey St
Ste C
Austin, TX 78745
Phone (512) 381-0170

12221 N Mopac Expy
#D
Austin, TX 78758
Phone (513) 901-2503

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2200 Park Bend Dr
Ste 401
Austin, TX 78758
Phone (512) 807-3160

1015 E 32nd St
Ste 508
Austin, TX 78705
Phone (512) 480-3147

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

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

2200 Park Bend Dr
Bldg 1
Austin, TX 78758
Phone (512) 339-0440

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

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

1253 N Von Minden St
La Grange, TX 78945
Phone (979) 968-8493

7215 Wyoming Springs Dr
Ste 100
Round Rock, TX 78681
Phone (512) 615-6224

Interoperability endpoints

  • Direct secure messaging: rwozniak7980@epiccwdv.hcadirect.net
  • Direct secure messaging: 945-wozniak-robert@direct.leadingreach.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1063408128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 RIATA PARK CT",
            "address_2": "BLDG D SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273437",
            "telephone_number": "512-617-6000",
            "fax_number": "512-615-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG. 2 STE. 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-617-6000",
            "fax_number": "512-339-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K1138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045077702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045077705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060064378",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwozniak7980@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "2200 Park Bend Dr",
            "address_2": "BLDG. 2 STE. 300",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787585387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.