Organization Active NPI

Central Texas Medical Specialists PLLC

Doing business as Georgetown Cancer Center

  • Specialist
  • Austin, TX
National Provider Identifier
1124250410
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL TEXAS MEDICAL SPECIALISTS PLLC
Doing business as
Georgetown Cancer Center
Practice address
9715 Burnet Rd
BLD 7 Ste 200
Austin, TX 78758-5215
Phone
(512) 334-2866
Fax
(512) 334-2702
NPI assigned
Aug 20, 2009
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Mrs. Janine Ricci
Title
Revenue Cycle Director
Phone
(512) 334-2654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

9715 Burnet Rd
BLD 7 Ste 200
Austin, TX 78758-5215

Mailing address

9715 Burnet Rd
BLD 7 Ste 200
Austin, TX 78758-5215
Phone (512) 334-2866

Other names 1

  • Georgetown Cancer Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130322000189 TX Part B Supplier - Clinic/Group Practice 8224273230 Receives reassigned benefits from 30 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX; Round Rock, TX; Lakeway, TX; Georgetown, TX; George Town, TX; Cedar Park, TX

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

900 E 30th St
Ste 100
Austin, TX 78705
Phone (512) 334-2777

2000 Scenic Dr
Ste G2
Georgetown, TX 78626
Phone (512) 531-5200

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1124250410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 BURNET RD",
            "address_2": "BLD 7 STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585215",
            "telephone_number": "512-334-2866",
            "fax_number": "512-334-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 BURNET RD",
            "address_2": "BLD 7 STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585215",
            "telephone_number": "512-334-2866",
            "fax_number": "512-334-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS MEDICAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "512-334-2654",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.