Active NPI
Central Texas Medical Specialists, PLLC
- Radiation Oncology Physician
- Kyle, TX
National Provider Identifier
1174936074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- CENTRAL TEXAS MEDICAL SPECIALISTS, PLLC
- Practice address
- 1180 Seton Pkwy
Ste 150
Kyle, TX 78640-6178 - Phone
- (512) 505-5500
- Fax
- (512) 334-2702
- NPI assigned
- Jun 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janine Ricci
- Title
- Revenue Cycle Director
- Phone
- (512) 334-2654
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | |||
| Radiation Oncology Physician | 2085R0001X | Primary | ||
| Surgical Oncology Physician | 2086X0206X |
Addresses
Primary practice location
1180 Seton Pkwy
Ste 150
Kyle, TX 78640-6178
Mailing address
9715 Burnet Rd
BLD 7 Ste. 200
Austin, TX 78758-5215
Phone (512) 334-2866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578957-04 | Medicaid | TX |
Other names 1
- Austin Cancer Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Radiation Oncology Physician
- Austin, TX
- NPI 1821069014
O20130322000189
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Austin, TX
- NPI 1134392152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462752000000",
"number": "1174936074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 BURNET RD",
"address_2": "BLD 7 STE. 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585215",
"telephone_number": "512-334-2866",
"fax_number": "512-334-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 SETON PKWY",
"address_2": "STE 150",
"city": "KYLE",
"state": "TX",
"postal_code": "786406178",
"telephone_number": "512-505-5500",
"fax_number": "512-334-2702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL TEXAS MEDICAL SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2016-05-09",
"status": "A",
"authorized_official_last_name": "RICCI",
"authorized_official_first_name": "JANINE",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "512-334-2654"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578957-04",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Austin Cancer Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.