Active NPI
Steven Kirkwood Booton, M.D.
- Internal Medicine Physician
- Austin, TX
National Provider Identifier
1093740987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G4844
- Practice address
- 720 W 34TH St
Suite 100
Austin, TX 78705-1241 - Phone
- (512) 381-5599
- Fax
- (512) 323-0307
- NPI assigned
- Jul 11, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G4844 | TX | |
| Internal Medicine Physician | 207R00000X | G4844 | TX | Primary |
Addresses
Primary practice location
720 W 34TH St
Suite 100
Austin, TX 78705-1241
Mailing address
720 W 34TH St
Suite 100
Austin, TX 78705-1241
Phone (512) 381-5599
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00R66E | Other | TX | BC/BS |
| 136674210 | Medicaid | TX |
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 |
|---|---|---|---|
| G4844 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1093740987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W 34TH ST",
"address_2": "SUITE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051241",
"telephone_number": "512-381-5599",
"fax_number": "512-323-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W 34TH ST",
"address_2": "SUITE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051241",
"telephone_number": "512-381-5599",
"fax_number": "512-323-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTON",
"first_name": "STEVEN",
"middle_name": "KIRKWOOD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G4844",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G4844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "00R66E",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136674210",
"state": "TX"
}
],
"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 Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.