Individual provider Active NPI

Mark Allen Esche, M.D.

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1174622740
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L3636 Issued in TX
Practice address
4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482
Phone
(512) 637-9551
Fax
(512) 340-0096
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L3636 TX Primary

Addresses

Primary practice location

4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482

Mailing address

4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482
Phone (512) 637-9090

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041214000291 TX Practitioner - Psychiatry 3173580990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Psychiatric Alliance, PLLCGroup PAC ID 8921153909, 3 clinicians

Practice addresses (Care Compare)

4101 Parkstone Heights Dr
Suite 360
Austin, TX 78746-7482
Phone 5126379090101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L3636TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Psychiatric Alliance, PLLC Psychiatry CurrentSince Jun 16, 2004 Accepting new patients

Locations

4101 Parkstone Heights Dr
Ste 360
Austin, TX 78746
Phone (512) 637-9090

3636 Executive Center Dr
Ste 158
Austin, TX 78731
Phone (512) 637-9090

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1174622740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PARKSTONE HEIGHTS DR STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467482",
            "telephone_number": "512-637-9090",
            "fax_number": "512-340-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PARKSTONE HEIGHTS DR STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467482",
            "telephone_number": "512-637-9551",
            "fax_number": "512-340-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHE",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L3636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.