Individual provider Active NPI

Qaisar Alshebani, DO

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1073010724
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10063737 Issued in TX
Practice address
Ut Austin Dell Medical School
Dell Seton Medical Center 1500 Red River Rd
Austin, TX 78712
Phone
(512) 324-8355
NPI assigned
Apr 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10063737 TX Primary

Addresses

Primary practice location

Ut Austin Dell Medical School
Dell Seton Medical Center 1500 Red River Rd
Austin, TX 78712

Mailing address

Dell Seton Medical Center-Im 1500 Red River Rd
Austin, TX 78701
Phone (512) 324-8355

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
I20210902000119 TX Practitioner - Internal Medicine 0244636033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10063737TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Seton Family of Doctors CurrentSince Aug 1, 2021 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

Organizations & group practices 3

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 2

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1073010724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELL SETON MEDICAL CENTER-IM 1500 RED RIVER RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78701",
            "telephone_number": "512-324-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UT AUSTIN DELL MEDICAL SCHOOL",
            "address_2": "DELL SETON MEDICAL CENTER 1500 RED RIVER RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-324-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHEBANI",
        "first_name": "QAISAR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10063737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.