Individual provider Active NPI

Evelyn Ding, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1174652846
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9663 Issued in TX
Practice address
3100 Red River St Ste 1
Austin, TX 78705-3298
Phone
(512) 971-6979
Fax
(512) 549-7809
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9663 TX Primary

Addresses

Primary practice location

3100 Red River St Ste 1
Austin, TX 78705-3298

Mailing address

239 Margaret Cir
Austin, TX 78737-1465
Phone (512) 971-6979

Other practice location 1

9008 Appaloosa Run
Austin, TX 78737-4047
Phone (512) 971-6979

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J9663TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Austin Internists Internal Medicine Past Accepting new patients

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1174652846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MARGARET CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371465",
            "telephone_number": "512-971-6979",
            "fax_number": "512-549-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RED RIVER ST STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053298",
            "telephone_number": "512-971-6979",
            "fax_number": "512-549-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9008 Appaloosa Run",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787374047",
            "country_code": "US",
            "telephone_number": "512-971-6979",
            "fax_number": "512-549-7809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DING",
        "first_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9663",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.