Individual provider Active NPI

Richard C Allen, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1104827351
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
K9978 Issued in TX
Practice address
3705 Medical Pkwy Ste 120
Austin, TX 78705-1022
Phone
(512) 458-2141
Fax
(512) 458-4824
NPI assigned
Aug 9, 2005
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 33235 IA
Ophthalmology Physician 207W00000X 2002-0262 NM
Ophthalmology Physician 207W00000X K9978 TX
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X K9978 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 120
Austin, TX 78705-1022

Mailing address

3705 Medical Pkwy Ste 120
Austin, TX 78705-1022
Phone (512) 458-2141

Other identifiers 5

IdentifierTypeStateIssuer
P00323169OtherNMMEDICARE ID
117117504 (MDACC)MedicaidTX
708050MedicaidAZ
NM001H54OtherNMBC BS OF NM
85104272MedicaidNM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rallen25652@bcm.ghhdirect.net
Direct Messaging Address richard.allenmd.p1@direct.tocaustin.nextgenshare.com Direct

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
I20151105001087 TX Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 8921086364 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

1977 Butler Blvd
Houston, TX 77030-4101

1977 Butler Boulevard
Houston, TX 77030-4101

1977 Butler Boulevard 6TH Floor
200 BCM Physicians
Houston, TX 77030-4101
Phone (713) 798-6131

2 Greenway PLZ
Suite 900
Houston, TX 77046-0205

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33235IAMDOphthalmology Physician
2002-0262NMMDOphthalmology Physician
K9978TXMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Nov 1, 2017 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2017 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2017 Accepting new patients
Texas Oculoplastic Consultants LLP Ophthalmic Plastic and Reconstructive Surgery CurrentSince Jul 18, 2022 Accepting new patients
Texas Children's Physician Group CurrentSince Oct 24, 2017 Accepting new patients
Baylor College of Medicine Ophthalmology CurrentSince Nov 1, 2017 Accepting new patients
Texas Oculoplastic Consultants LLP Ophthalmology CurrentSince Jul 18, 2022 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Ophthalmology Past Accepting new patients

Locations

3705 Medical Pkwy
Ste 120
Austin, TX 78705
Phone (512) 457-2141

4207 James Casey St
Ste 306
Austin, TX 78745
Phone (512) 447-6096

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

1977 Butler Blvd
Fl 2
Houston, TX 77030
Phone (713) 798-7321

6621 Fannin St
Ste 300
Houston, TX 77030
Phone (713) 770-3230

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6701 Fannin St
Fl 5
Houston, TX 77030
Phone (832) 822-3200

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

6701 Fannin St
Ste 510
Houston, TX 77030
Phone (832) 822-3230

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: rallen215091@prddirect.texaschildrens.org
  • Direct secure messaging: rallenmd@direct.tocaustin.nextgenshare.com
  • Direct secure messaging: richard.allenmd.p1@direct.tocaustin.nextgenshare.com

Organizations & group practices 9

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 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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1104827351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051022",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051022",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "33235",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "2002-0262",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K9978",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "K9978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P00323169",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117117504 (MDACC)",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708050",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NM",
            "identifier": "NM001H54",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85104272",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rallen25652@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "1977 Butler Blvd Fl 2",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.allenmd.p1@direct.tocaustin.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3705 Medical Pkwy Ste 120",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787051022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.