Individual provider Active NPI

Ali K Choucair, MD

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1063426971
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
S4931 Issued in TX
Practice address
900 E 30TH St Ste 100
Austin, TX 78705-3378
Phone
(512) 505-5500
Fax
(512) 334-2883
NPI assigned
Jul 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 1664481205 UT
Neurology Physician 2084N0400X S4931 TX Primary
Neurology Physician 2084N0400X 036141215 IL
Neurology Physician 2084N0400X 27943 WI
Neurology Physician 2084N0400X 44122 KY

Addresses

Primary practice location

900 E 30TH St Ste 100
Austin, TX 78705-3378

Mailing address

9715 Burnet Rd Ste 200
Austin, TX 78758-5390
Phone (512) 505-5500

Other practice location 1

16030 Park Valley Dr Ste 201
Round Rock, TX 78681-3647
Phone (512) 505-5500

Other practice location 2

1180 Seton Pkwy Ste 150
Kyle, TX 78640-6319
Phone (512) 505-5500

Other identifiers 8

IdentifierTypeStateIssuer
036141215001MedicaidIL
000000726899OtherKYANTHEM- NORTON NEUROLOGY SERVICES
128297OtherKYSIHO- NORTON NEUROLOGY SERVICES
201035260OtherINMEDICAID- NORTON NEUROLOGY SERVICES
50034484OtherKYPASSPORT HEALTH- NNS
000057151MOtherKYHUMANA- NORTON NEUROLOGY SERVICES
K011680OtherKYMEDICARE PTAN- NORTON NEUROLOGY SERVICES
409583801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141215ILMDNeurology Physician
S4931TXMDNeurology Physician
1664481205UTMDNeurology Physician
27943WIMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063426971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 BURNET RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585390",
            "telephone_number": "512-505-5500",
            "fax_number": "512-334-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053378",
            "telephone_number": "512-505-5500",
            "fax_number": "512-334-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16030 Park Valley Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786813647",
            "country_code": "US",
            "telephone_number": "512-505-5500",
            "fax_number": "512-334-2883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Seton Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406319",
            "country_code": "US",
            "telephone_number": "512-505-5500",
            "fax_number": "512-334-2883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUCAIR",
        "first_name": "ALI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "1664481205",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "S4931",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036141215",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "27943",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "44122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036141215001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-  NORTON NEUROLOGY SERVICES",
            "identifier": "000000726899",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO- NORTON NEUROLOGY SERVICES",
            "identifier": "128297",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- NORTON NEUROLOGY SERVICES",
            "identifier": "201035260",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH- NNS",
            "identifier": "50034484",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA-  NORTON NEUROLOGY SERVICES",
            "identifier": "000057151M",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-  NORTON NEUROLOGY SERVICES",
            "identifier": "K011680",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409583801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.