Austin Kidney Associates PA

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

Organization subpart

No

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Austin Kidney Associates, P. a.

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1801317904

  1658511217

  Same PAC ID

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

CLIA laboratory certificates

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.

• Austin Kidney Associates, P. a.

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1801317904
  NPD tax ID

Locations

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yazmine Araya, APRN, AGACNP-BC

  • Nurse Practitioner
  • Austin, TX
  • NPI 1417804972
  Medicare reassignment Care Compare group NPD
• Ashvin Baru, M.D.

  • Nephrology Physician
  • Austin, TX
  • NPI 1114216009
  Medicare reassignment Care Compare group NPD
• Cristian D Cipleu, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1689617383
  Medicare reassignment Care Compare group NPD
• Gershwin Boniao Cruzabra, FNP-C

  • Nurse Practitioner
  • Austin, TX
  • NPI 1689472706
  Medicare reassignment Care Compare group NPD
• Raymonda El Khoury, M.D.

  • Nephrology Physician
  • Austin, TX
  • NPI 1356539910
  Medicare reassignment Care Compare group NPD
• Amsalu Erko, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1386703064
  Medicare reassignment Care Compare group NPD
• Tejas Gopal, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1497285316
  Medicare reassignment Care Compare group NPD
• Harry F. Goss Jr., MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1508832437
  Medicare reassignment Care Compare group NPD
• Monica Lynette Guzman-Limon, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1659691368
  Medicare reassignment Care Compare group NPD
• Jarrod Paul Hertzler, CNP

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1174194062
  Medicare reassignment Care Compare group NPD
• Peter B Hines, MD

  • Nephrology Physician
  • Cedar Park, TX
  • NPI 1932244506
  Medicare reassignment Care Compare group NPD
• Timothy Reed Hines, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1063446359
  Medicare reassignment Care Compare group NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324427901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Internal Medicine Clinic, PA
• Austin International Counseling
• Austin Intervential Pain Procedures
• Austin Ivf, LP
• Austin Ketamine Specialists PLLC
• Austin Kidney Associates, P. a.
• Austin Kidney Care LLC
• Austin Kids Teeth - Orthodontics PLLC
• Austin Lifecare
• Austin Lymphatic

• Nephrology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Nephrology Physician in Texas

• 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.