Individual provider Active NPI

Michael Ryan Esmay, MD

  • Family Medicine Physician
  • Lakeway, TX
National Provider Identifier
1184821050
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S9679 Issued in TX
Practice address
1518 Ranch Road 620 S
Lakeway, TX 78734-6291
Phone
(512) 527-6247
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2017-0652 NM
Family Medicine Physician 207Q00000X 81349 AZ
Family Medicine Physician 207Q00000X S9679 TX Primary

Addresses

Primary practice location

1518 Ranch Road 620 S
Lakeway, TX 78734-6291

Mailing address

117 Stone River Dr
Austin, TX 78737-4746
Phone (480) 209-2495

Other practice location 1

1300 N 12th St
Suite 605
Phoenix, AZ 85006-2848
Phone (602) 239-4567

Other practice location 2

Nor-Lea Hospital District
1600 North Main
Lovington, NM 88260-2830
Phone (575) 396-6611

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
I20211129001727 TX Practitioner - Emergency Medicine 2365567278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Drexel University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cec Lakeway Urgent Care Physicians PLLCGroup PAC ID 8123318169, 12 clinicians

Practice addresses (Care Compare)

1518 Ranch Rd 620
Suite 100
Lakeway, TX 78734-6291
Phone (817) 527-3403

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81349AZMDFamily Medicine Physician
S9679TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Feb 1, 2022 Accepting new patients
Westlake Complete Care LLC Past Accepting new patients
Lakeway Era Acquistion Partners LLC Past Accepting new patients
22250 Bulverde Cec Fossil Creek LLC Past Accepting new patients

Locations

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Interoperability endpoints

  • Direct secure messaging: mesmay1266609@oc.providencedirect.org
  • FHIR API: https://api.platform.athenahealth.com/12515/brand/6/csg/1/fhir/r4

Organizations & group practices 5

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1184821050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 STONE RIVER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374746",
            "telephone_number": "480-209-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 RANCH ROAD 620 S",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346291",
            "telephone_number": "512-527-6247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N 12th St",
            "address_2": "Suite 605",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062848",
            "country_code": "US",
            "telephone_number": "602-239-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Nor-Lea Hospital District",
            "address_2": "1600 North Main",
            "address_purpose": "LOCATION",
            "city": "Lovington",
            "state": "NM",
            "postal_code": "882602830",
            "country_code": "US",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESMAY",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2017-0652",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "81349",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.