Individual provider Active NPI

Rajan K Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Austin, TX
National Provider Identifier
1134474554
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2012025207 Issued in MO
Practice address
9012 Research Blvd Ste C13
Austin, TX 78758-7012
Phone
(512) 450-0101
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2012025207 MO Primary

Addresses

Primary practice location

9012 Research Blvd Ste C13
Austin, TX 78758-7012

Mailing address

9012 Research Blvd
C-13
Austin, TX 78758-7093
Phone (405) 205-5966

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109000866 TX Practitioner - Podiatry 9830409580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atx Foot and Ankle PLLCGroup PAC ID 6709167851, 2 clinicians

Practice addresses (Care Compare)

9012 Research Blvd
Suite C13
Austin, TX 78758-7012
Phone (512) 450-0101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions25
Removal of nail tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012025207MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atx Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Sep 27, 2016 Accepting new patients

Locations

5920 W William Cannon Dr
Bldg 6
Austin, TX 78749
Phone (512) 336-8909

11824 Jollyville Rd
Ste 101
Austin, TX 78759
Phone (512) 335-1800

9012 Research Blvd
Ste C13
Austin, TX 78758
Phone (512) 450-0101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12869/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rajan.patel.1@12869.direct.athenahealth.com

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1134474554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 RESEARCH BLVD",
            "address_2": "C-13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587093",
            "telephone_number": "405-205-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 RESEARCH BLVD STE C13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587012",
            "telephone_number": "512-450-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2012025207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.