Active NPI
Michael W Mouw, M.D.
- Emergency Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G5410
- Practice address
- 601 E 15TH St
Austin, TX 78701-1930 - Phone
- (512) 324-7000
- NPI assigned
- Apr 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | G5410 | TX | |
| Emergency Medicine Physician | 207P00000X | G5410 | TX | Primary |
Addresses
Primary practice location
601 E 15TH St
Austin, TX 78701-1930
Mailing address
5616 Ballenton LN
Austin, TX 78739-1742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125535805 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5410 | TX | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Emergency Partners LLC | Emergency Medicine | Current | Accepting new patients |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Integrative Emergency Services Physician Group PA | Emergency Medicine | Current | Accepting new patients |
| Pearsall Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Leading Edge Emergency Physicians, Inc | Emergency Medicine | Past | Accepting new patients |
| Palestine Principal Healthcare Limited Partnership | Emergency Medicine | Past | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
Interoperability endpoints
- mmouw169412@ahs.direct-ci.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
- Emergency Medicine Physician
- Horizon City, TX
- NPI 1104326263
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
- Emergency Medicine Physician
- Horizon City, TX
- NPI 1902324551
-
- Anesthesiology Physician
- Palestine, TX
- NPI 1164572830
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1063479376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5616 BALLENTON LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787391742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 15TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011930",
"telephone_number": "512-324-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUW",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "G5410",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "G5410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125535805",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Yvonne Marie Mounkhoune, BSN, RN, MA
- Erika Mountz, OTR
- Rebecca E Mouser, MD
- Robert L Mousselli, DO
- Mousumi Chanda-Kim MD PLLC
- Payam Movahed, PHARMD, RPH.
- Movement & Performance Physical Therapy
- Movement & Performance Physical Therapy
- Movement Medical LLC
- Movement Resilience Sports Medicine and Rehab PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.