Individual provider Active NPI

Vandana M. Rawal, MD

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1194789164
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K7579 Issued in TX
Practice address
2400 Cedar Bend Dr
Austin, TX 78758-5378
Phone
(512) 901-4016
Fax
(512) 901-3857
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K7579 TX Primary

Addresses

Primary practice location

2400 Cedar Bend Dr
Austin, TX 78758-5378

Mailing address

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4016

Other identifiers 1

IdentifierTypeStateIssuer
046736701MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VANDANA.RAWAL@hca8.eclinicaldirectplus.com

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
I20100510000551 TX Practitioner - Pediatric Medicine 0446388672 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7579TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
Austin Diagnostic Clinic CurrentSince Mar 25, 2010 Accepting new patients
The Austin Diagnostic Clinic, PLLC CurrentSince Mar 25, 2010 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients

Locations

2400 Cedar Bend Dr
Austin, TX 78758
Phone (512) 901-4016

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

4315 James Casey St
Austin, TX 78745
Phone (512) 460-3404

Interoperability endpoints

  • Direct secure messaging: 11225-rawal-vandana@direct.leadingreach.com
  • Direct secure messaging: vandana.rawal@hca8.eclinicaldirectplus.com

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1194789164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4016",
            "fax_number": "512-901-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4016",
            "fax_number": "512-901-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAL",
        "first_name": "VANDANA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046736701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VANDANA.RAWAL@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Cedar Bend Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787585378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.