Active NPI
Ali K Choucair, MD
- Neurology Physician
- Austin, TX
National Provider Identifier
1063426971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- S4931
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036141215001 | Medicaid | IL | |
| 000000726899 | Other | KY | ANTHEM- NORTON NEUROLOGY SERVICES |
| 128297 | Other | KY | SIHO- NORTON NEUROLOGY SERVICES |
| 201035260 | Other | IN | MEDICAID- NORTON NEUROLOGY SERVICES |
| 50034484 | Other | KY | PASSPORT HEALTH- NNS |
| 000057151M | Other | KY | HUMANA- NORTON NEUROLOGY SERVICES |
| K011680 | Other | KY | MEDICARE PTAN- NORTON NEUROLOGY SERVICES |
| 409583801 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036141215 | IL | MD | Neurology Physician |
| S4931 | TX | MD | Neurology Physician |
| 1664481205 | UT | MD | Neurology Physician |
| 27943 | WI | MD | Neurology 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.