NPIMap

Organization Active NPI

Austin Kidney Associates PA

  • Nephrology Physician
  • Austin, TX
National Provider Identifier
1154669331
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
AUSTIN KIDNEY ASSOCIATES PA
Practice address
408 W 45TH St
Austin, TX 78751-3014
Phone
(512) 451-5800
Fax
(512) 459-1399
NPI assigned
Jan 23, 2013
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Victoria Bellavance
Title
RCM Manager
Phone
(512) 451-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

408 W 45TH St
Austin, TX 78751-3014

Mailing address

300 E Highland Mall Blvd Ste 1a
Austin, TX 78752-3746
Phone (512) 382-0037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130703000239 TX Part B Supplier - Clinic/Group Practice 1658511217 Receives reassigned benefits from 38 practitioners
Practice locations: Cedar Park, TX; Round Rock, TX; Kyle, TX; Austin, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
45D0865832Austin Kidney Associates, PA408 W 45TH Street, Austin, TX 78751Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Austin Access Care2 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

10001 S Interstate 35
Ste 100
Austin, TX 78747

3000 N Interstate 35
Ste 635
Austin, TX 78705

321 W Ben White Blvd
Austin, TX 78704

3601 Manor Rd
Austin, TX 78723
Phone (512) 926-7378

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

9010 Brodie Ln
Bldg A
Austin, TX 78748
Phone (512) 280-6505

9811 S Interstate 35
Bldg 4
Austin, TX 78744
Phone (512) 735-6300

1720 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 528-0560

1720 E Whitestone Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 451-5800

2606 W Pecan St
Bldg 3
Pflugerville, TX 78660
Phone (512) 990-7785

1800 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (512) 310-8797

3100 W 2nd St
Taylor, TX 76574
Phone (512) 352-2549

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1154669331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HIGHLAND MALL BLVD STE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523746",
            "telephone_number": "512-382-0037",
            "fax_number": "512-382-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN KIDNEY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "BELLAVANCE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "512-451-5800"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "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 Aug 25, 2026; 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.