Individual provider Active NPI

Paul K Pickrell, MD

  • Rheumatology Physician
  • Austin, TX
National Provider Identifier
1114935418
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
K0997 Issued in TX
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

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
K0997TXMDRheumatology Physician
11711039-1205UTMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Arthritis PA Rheumatology PastSince Jun 5, 2000 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.

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.

Verify at the official NPI Registry.