Ruy Carrasco, MD

Primary specialty

Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X

License

M1563 Issued in TX

Practice address

5301 Davis LN Ste 200a
Austin, TX 78749-4062

Phone

(512) 494-4000

Fax

(512) 494-4090

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ruy.carrasco.1@13029.direct.athenahealth.com

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.

• Magella Medical Associates Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071
  Medicare reassignment NPD
• Central Texas Subspecialists for Children PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Austin, TX
  • NPI 1457729733
  Medicare reassignment
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1063478154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SHOAL CREEK BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577589",
            "telephone_number": "512-494-4000",
            "fax_number": "512-494-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LN STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494062",
            "telephone_number": "512-494-4000",
            "fax_number": "512-494-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "RUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "TX",
            "license": "M1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Varela Carrasco, M.D.
• Daniel Anthony Carrasco, MD
• Jiovann A Carrasco, LPC-S
• Nicolas Carrasco, PHD
• Nidia Gisela Carrasco
• Melanie Carrell
• Paul Timothy Carrell, MD
• Natalie M Carreras, CNM, FNP-BC
• Maria Paula Carrero
• Attilie Carrig, MD

• Pediatric Rheumatology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.