Organization Active NPI

Austin Retina Associates PLLC

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1114999828
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
AUSTIN RETINA ASSOCIATES PLLC
Practice address
801 W 38TH St Ste 200
Austin, TX 78705-1169
Phone
(512) 451-0103
Fax
(512) 451-2741
NPI assigned
Feb 6, 2006
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Stephanie Collins
Title
C.E.O.
Phone
(512) 451-0103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X

Addresses

Primary practice location

801 W 38TH St Ste 200
Austin, TX 78705-1169

Mailing address

1512 W 35TH St Ste 200
Austin, TX 78703-1437
Phone (512) 451-0103

Other identifiers 3

IdentifierTypeStateIssuer
CP8063OtherTXRAILROAD MEDICARE
00LK94OtherTXBCBS TX
083945801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000054 TX Part B Supplier - Clinic/Group Practice 2163497801 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Killeen, TX; Wimberley, TX; Waco, TX; Temple, TX; San Marcos, TX; Round Rock, TX; Marble Falls, TX; Lakeway, TX…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2023620Austin Retina Associates801 West 38TH St Suite 200, Austin, TX 78705Certificate of waiverApr 26, 2027
45D2259314Austin Retina Associates801 W 38TH Street Suite 300, Austin, TX 78705Certificate of waiverMay 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Austin Retina Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 W 38th St
Ste 200
Austin, TX 78705

3300 W Anderson Ln
Ste 308
Austin, TX 78757
Phone (512) 454-8744

2501 Ranch Road 620 S
Ste 130
Lakeway, TX 78734

101 Medical Pkwy
Ste 240
Lakeway, TX 78738

503 Highway 1431
Ste 101
Marble Falls, TX 78654
Phone (830) 798-2400

200 Max Starcke Dam Rd
Ste 240
Marble Falls, TX 78654

319 W Harris Ave
San Angelo, TX 76903
Phone (325) 658-8595

220 Opportunity Blvd
Unit 2A
San Marcos, TX 78666

2027 S 61st St
Ste 116
Temple, TX 76504

2400 Ambassador Dr
Waco, TX 76712
Phone (254) 756-4457

Interoperability endpoints

  • Direct secure messaging: aroller@austinretina.intellechartdirect.net
  • Direct secure messaging: ralabi@austinretina.intellechartdirect.net
  • Direct secure messaging: nhasegaw@austinretina.intellechartdirect.net
  • Direct secure messaging: spatel@austinretina.intellechartdirect.net
  • Direct secure messaging: mji@austinretina.intellechartdirect.net
  • Direct secure messaging: jfitzpatrick@austinretina.intellechartdirect.net
  • Direct secure messaging: cleal@austinretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1114999828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W 35TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031437",
            "telephone_number": "512-451-0103",
            "fax_number": "512-451-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 38TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051169",
            "telephone_number": "512-451-0103",
            "fax_number": "512-451-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN RETINA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "512-451-0103"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP8063",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "00LK94",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083945801",
            "state": "TX"
        }
    ],
    "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 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.