Individual provider Active NPI

Sandeep G Mistry, M.D.

  • Urology Physician
  • Round Rock, TX
National Provider Identifier
1104039916
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M0182 Issued in TX
Practice address
970 Hesters Crossing Rd
Suite 101
Round Rock, TX 78681-8027
Phone
(512) 238-0762
Fax
(512) 341-7370
NPI assigned
May 8, 2007
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M0182 TX Primary

Addresses

Primary practice location

970 Hesters Crossing Rd
Suite 101
Round Rock, TX 78681-8027

Mailing address

970 Hesters Crossing Rd
Suite 101
Round Rock, TX 78681-8027
Phone (512) 238-0762

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
I20080222000459 TX Practitioner - Urology 7911081476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandeep G Mistry MD PAGroup PAC ID 5092899559, 7 clinicians

Practice addresses (Care Compare)

970 Hesters Crossing Rd
Suite 101
Round Rock, TX 78681-8029
Phone (512) 238-0762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as individual
Quality
72.93
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep G. Mistry, MD, PA Urology CurrentSince Sep 1, 2007 Accepting new patients
Southwest Skin and Vein Center PLLC PastSince Sep 1, 2018 Accepting new patients

Locations

12505 Hymeadow Dr
Ste 2C
Austin, TX 78750
Phone (512) 238-0762

6501 S Congress Ave
Ste 103
Austin, TX 78745

6501 S Congress Ave
Ste 1103
Austin, TX 78745
Phone (512) 238-0762

170 Benney Ln
Ste 202
Dripping Springs, TX 78620
Phone (512) 238-0762

970 Hesters Crossing Rd
Ste 101
Round Rock, TX 78681
Phone (512) 238-0762

Interoperability endpoints

  • Direct secure messaging: sandeep.mistry.1@15397.direct.athenahealth.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.

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1104039916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 HESTERS CROSSING RD",
            "address_2": "SUITE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818027",
            "telephone_number": "512-238-0762",
            "fax_number": "512-341-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 HESTERS CROSSING RD",
            "address_2": "SUITE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818027",
            "telephone_number": "512-238-0762",
            "fax_number": "512-341-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "SANDEEP",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M0182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.