Individual provider Active NPI

Aubrey Chad Hartmann, MD

  • Dermatology Physician
  • Cedar Park, TX
National Provider Identifier
1194713933
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L1338 Issued in TX
Practice address
1401 Medical Pkwy
Building B, Suite 300
Cedar Park, TX 78613-7464
Phone
(512) 260-5860
Fax
(512) 260-5859
NPI assigned
Oct 6, 2005
Last updated
Aug 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X L1338 TX Primary

Addresses

Primary practice location

1401 Medical Pkwy
Building B, Suite 300
Cedar Park, TX 78613-7464

Mailing address

1401 Medical Pkwy
Building B, Suite 300
Cedar Park, TX 78613-7464
Phone (512) 260-5860

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
I20091230000121 TX Practitioner - Dermatology 7911957261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

1367 Dominion PLZ
Tyler, TX 75703-1013
Phone (903) 534-6200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of tissue40
Removal of skin lesions2787
Skin biopsy501

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aubrey Chad Hartmann, MD, PA Dermatology CurrentSince May 19, 2008 Accepting new patients
Seton Family of Doctors CurrentSince Feb 23, 2014 Accepting new patients
Seton Family of Doctors CurrentSince Feb 23, 2014 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Nov 1, 2015 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1401 Medical Pkwy
Ste 300
Cedar Park, TX 78613
Phone (512) 249-7190

1515 Medical Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 260-5860

701 E Whitestone Blvd
Ste 150
Cedar Park, TX 78613
Phone (512) 260-5860

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • Direct secure messaging: achartma@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1194713933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY",
            "address_2": "BUILDING B, SUITE 300",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137464",
            "telephone_number": "512-260-5860",
            "fax_number": "512-260-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY",
            "address_2": "BUILDING B, SUITE 300",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137464",
            "telephone_number": "512-260-5860",
            "fax_number": "512-260-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMANN",
        "first_name": "AUBREY",
        "middle_name": "CHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L1338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.