Active NPI
Matthew Gandy
- Family Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1111397
- Practice address
- 2200 Park Bend Dr Ste 401
Austin, TX 78758-5387 - Phone
- (512) 807-3160
- NPI assigned
- Feb 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1111397 | TX | Primary |
Addresses
Primary practice location
2200 Park Bend Dr Ste 401
Austin, TX 78758-5387
Mailing address
2200 Park Bend Dr Ste 401
Austin, TX 78758-5387
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1900 Scenic Dr
Georgetown, TX 78626-7876
2200 Park Bend
Suite 401
Austin, TX 78758-5509
Phone (512) 807-3160
2200 Park Bend Dr
Austin, TX 78758-5387
3801 N Lamar Blvd
Austin, TX 78756-4080
7215 Wyoming Springs Dr Building 1
Texas Cardiac Arrhythmia
Round Rock, TX 78681-4312
Phone (512) 807-3180
Hospital & facility affiliations
- St David'S Medical Center
- Round Rock Medical Center
- North Austin Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111397 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. David'S Cardiology, PLLC | Current | Accepting new patients | |
| St Davids Heart & Vascular, PLLC | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600
2200 Park Bend Dr
Ste 401
Austin, TX 78758
Phone (512) 807-3160
1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1700887700
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1023330271
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1104525567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PARK BEND DR STE 401",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PARK BEND DR STE 401",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585387",
"telephone_number": "512-807-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDY",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1111397",
"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 Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.