Jack Wesly Moncrief, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D-0234 Issued in TX

Practice address

800 W 34TH St
100
Austin, TX 78705-1143

Phone

(512) 485-7870

Fax

(512) 494-4042

NPI assigned

Aug 2, 2006

Last updated

Aug 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jack Moncrief Group, PA

  • Pediatric Nephrology Physician
  • Austin, TX
  • NPI 1194053496
  Authorized official Same address or phone
• Moncrief Dialysis Center-Total Renal Care Limited Partnership

  dba Moncrief Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Austin, TX
  • NPI 1497718175
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1164439295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 34TH ST",
            "address_2": "100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051143",
            "telephone_number": "512-485-7870",
            "fax_number": "512-494-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 34TH ST",
            "address_2": "100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051143",
            "telephone_number": "512-485-7870",
            "fax_number": "512-494-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "JACK",
        "middle_name": "WESLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "D-0234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Enrique Moncayo, MASSAGE THERAPIST
• Julianna Hope Monceaux, FNP-C
• Raymond H Moncivaiz, FNP C
• Mary Elizabeth Monckton, SLP
• Moncrief Dialysis Center-Total Renal Care Limited Partnership (Moncrief Dialysis Center)
• Mondo Sports Therapy, LLC (Mondo Sports Therapy)
• Maria Edith Mondragon
• Corah Mondro, APRN, ANCC PMHNP-BC
• Jessica Mondshine, MD
• Kristin E Mondy, MD

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

Verify at the official NPI Registry.