Organization Active NPI

New Braunfels Endocrinology PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • New Braunfels, TX
National Provider Identifier
1174293468
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
NEW BRAUNFELS ENDOCRINOLOGY PLLC
Practice address
790 Generations Dr Ste 405
New Braunfels, TX 78130-6720
Phone
(830) 215-0488
Fax
(877) 409-1465
NPI assigned
Sep 17, 2021
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Anila MustafaNPI 1942418868
Title
MD
Phone
(830) 215-0488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

790 Generations Dr Ste 405
New Braunfels, TX 78130-6720

Mailing address

1659 W State Highway 46 Ste 115
New Braunfels, TX 78132-4745
Phone (830) 515-4832

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011001755 TX Part B Supplier - Clinic/Group Practice 2668870353 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

652 N Houston Ave
Ste 1
New Braunfels, TX 78130
Phone (830) 215-0488

741 Generations Dr
Ste 110
New Braunfels, TX 78130
Phone (830) 215-0488

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1174293468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 W STATE HIGHWAY 46 STE 115",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324745",
            "telephone_number": "830-515-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR STE 405",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306720",
            "telephone_number": "830-215-0488",
            "fax_number": "877-409-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS ENDOCRINOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "ANILA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "830-215-0488"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.