Tim L Faulkenberry, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E2554 Issued in TX

Practice address

3705 Medical Pkwy Ste 250
Austin, TX 78705-1022

Phone

(512) 302-1210

Fax

(512) 451-9752

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

University of Texas Medical Branch at Galveston, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southwest Bariatric Surgeons, PLLCGroup PAC ID 4385612308, 8 clinicians

Capital Surgeons Group, PLLCGroup PAC ID 8527039031, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David'S Medical Center Hospital, Austin, TX, CCN 450431
• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22422/brand/1/csg/1/fhir/r4
• Direct secure messaging: tim.faulkenberry.1@22422.direct.athenahealth.com

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.

• Capital Surgeons Group, PLLC

  • Surgery Physician
  • Austin, TX
  • NPI 1891745592
  Medicare reassignment Care Compare group NPD
• Southwest Bariatric Surgeons PLLC

  • Surgery Physician
  • Austin, TX
  • NPI 1700836756
  Medicare reassignment Care Compare group NPD
• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1114906070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051022",
            "telephone_number": "512-302-1210",
            "fax_number": "512-451-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051022",
            "telephone_number": "512-302-1210",
            "fax_number": "512-451-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKENBERRY",
        "first_name": "TIM",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E2554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kerry Faudree, LCDC
• Brandon C Faulds
• Leslie Kate Faulhaber, LCSW
• Millicent Hicks Faulk
• Sean Faulk
• Beau Robert Faulkner, PHARM.D.
• Daryl Faulkner, M.S., ATC, LAT
• David Faulkner, PHARM.D.
• Leslie Faulkner, LPC
• Shylo Faulkner, RN, WCC

• Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.

Verify at the official NPI Registry.