Individual provider Active NPI

Kaethan Bysani, DO

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1063972859
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
V6889 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X V6889 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other practice location 1

333 City Blvd W Ste 1600
Orange, CA 92868-5903
Phone (714) 509-2377

Other practice location 2

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (317) 490-3210

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250416000368 TX Practitioner - Diagnostic Radiology 8820513583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians

Practice addresses (Care Compare)

Manvel, TX 77578
Phone (855) 504-4544

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

11113 Research Blvd
Austin, TX 78759-5236
Phone (713) 461-3573

1201 W 38TH St
Austin, TX 78705-1006
Phone (281) 742-0469

1201 W Louis Henna Blvd
St David'S Surgical Hospital
Austin, TX 78681-2301
Phone (512) 248-7000

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (713) 461-3573

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

130 Hays St
Luling, TX 78648-3207
Phone (713) 461-3573

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000

1500 Red River St
Austin, TX 78701-1918
Phone (713) 461-3573

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (713) 461-3573

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (713) 461-3573

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (713) 461-3573

3201 S Water St
Seton Highland Lakes Hosp
Burnet, TX 78611-4510
Phone (512) 715-3000

3801 N Lamar Blvd
Austin, TX 78756-4080
Phone (713) 461-3573

4900 Mueller Blvd
Austin, TX 78723-3079
Phone (713) 461-3573

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (713) 461-3573

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

800 Hwy 71 E
Smithville, TX 78957-1730
Phone (713) 461-3573

901 W 38TH St
Suite 100
Austin, TX 78705-1164
Phone (855) 504-4544

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (713) 461-3573

919 E 32ND St
Austin, TX 78705-2703
Phone (713) 461-3573

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Radiological Association CurrentSince May 1, 2025 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jun 30, 2025 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jun 30, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 9, 2026 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 9, 2026 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jun 30, 2025 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831

5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1063972859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 City Blvd W Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928685903",
            "country_code": "US",
            "telephone_number": "714-509-2377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "317-490-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYSANI",
        "first_name": "KAETHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V6889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.