Active NPI
Paul K Pickrell, MD
- Rheumatology Physician
- Austin, TX
National Provider Identifier
1114935418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- K0997
- Practice address
- 12912 Hill Country Blvd
BLDG F Ste 238
Austin, TX 78738-6328 - Phone
- (512) 732-2929
- Fax
- (512) 732-2933
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 11711039-1205 | UT | |
| Rheumatology Physician | 207RR0500X | K0997 | TX | Primary |
Addresses
Primary practice location
12912 Hill Country Blvd
BLDG F Ste 238
Austin, TX 78738-6328
Mailing address
12912 Hill Country Blvd
BLDG F Ste 238
Austin, TX 78738-6328
Phone (512) 732-2929
Other practice location 1
1490 E Foremaster Dr Ste 220
Saint George, UT 84790-4498
Phone (435) 879-7610
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 |
|---|---|---|---|
| K0997 | TX | MD | Rheumatology Physician |
| 11711039-1205 | UT | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Arthritis PA | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rheumatology Physician
- West Lake Hills, TX
- NPI 1710168661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1114935418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12912 HILL COUNTRY BLVD",
"address_2": "BLDG F STE 238",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787386328",
"telephone_number": "512-732-2929",
"fax_number": "512-732-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12912 HILL COUNTRY BLVD",
"address_2": "BLDG F STE 238",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787386328",
"telephone_number": "512-732-2929",
"fax_number": "512-732-2933"
}
],
"practiceLocations": [
{
"address_1": "1490 E Foremaster Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Saint George",
"state": "UT",
"postal_code": "847904498",
"country_code": "US",
"telephone_number": "435-879-7610",
"fax_number": "435-879-7292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKRELL",
"first_name": "PAUL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "UT",
"license": "11711039-1205",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "K0997",
"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 May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.