Active NPI
Amelia Vendrell, MD
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
National Provider Identifier
1164413340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- H4767
- Practice address
- 601 E 15TH St
Pathology Department
Austin, TX 78701 - Phone
- (512) 324-7516
- Fax
- (512) 324-7536
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | H4767 | TX | Primary |
Addresses
Primary practice location
601 E 15TH St
Pathology Department
Austin, TX 78701
Mailing address
PO Box 164106
Austin, TX 78716-4106
Phone (512) 324-7516
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124426106 | Medicaid | TX | |
| 124426103 | Medicaid | TX | |
| 124426105 | Medicaid | TX | |
| 124426107 | Medicaid | TX | |
| 80P650 | Other | BCBS OF TEXAS | |
| 124426102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4767 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis Pathology Associates PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Travis Pathology Associates PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Georgetown, TX
- NPI 1477719490
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1922264944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1164413340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 164106",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787164106",
"telephone_number": "512-324-7516",
"fax_number": "512-324-7536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 15TH ST",
"address_2": "PATHOLOGY DEPARTMENT",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78701",
"telephone_number": "512-324-7516",
"fax_number": "512-324-7536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENDRELL",
"first_name": "AMELIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "H4767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124426106",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124426103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124426105",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124426107",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "80P650",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124426102",
"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 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.