Active NPI
Ian Patterson, M.D.
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1063823474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R3177
- Practice address
- 1100 W 39TH 1/2 St
Austin, TX 78756-3902 - Phone
- (512) 454-4545
- Fax
- (888) 653-3677
- NPI assigned
- May 20, 2014
- Last updated
- Jan 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R3177 | TX | Primary |
Addresses
Primary practice location
1100 W 39TH 1/2 St
Austin, TX 78756-3902
Mailing address
1100 W 39TH 1/2 St
Austin, TX 78756-3902
Phone (475) 355-4711
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 |
|---|---|---|---|
| R3177 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCH Pediatrics Inc | Pediatrics | Past | Accepting new patients |
| Ellis Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHJABD/Endpoint/GHJABD
- ian.patterson@napp.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1063823474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W 39TH 1/2 ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563902",
"telephone_number": "475-355-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 39TH 1/2 ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563902",
"telephone_number": "512-454-4545",
"fax_number": "888-653-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "IAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R3177",
"primary": true
}
],
"identifiers": [],
"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 Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.