Individual provider Active NPI

Minas Spiros Constantinides, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1194823096
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
Q5991 Issued in TX
Practice address
3800 N Lamar Blvd Ste 155
Austin, TX 78756-0002
Phone
(512) 617-9200
Fax
(512) 553-1055
NPI assigned
Sep 21, 2006
Last updated
Feb 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Q5991 TX
Facial Plastic Surgery Physician 207YS0123X Q5991 TX
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X Q5991 TX Primary

Addresses

Primary practice location

3800 N Lamar Blvd Ste 155
Austin, TX 78756-0002

Mailing address

3800 N Lamar Blvd Ste 155
Austin, TX 78756-0002
Phone (512) 617-9200

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
I20151014001791 TX Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 4183523269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Columbia University College of Physicians and Surgeons, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westlake Dermatology PAGroup PAC ID 6305817230, 52 clinicians

Practice addresses (Care Compare)

8825 Bee Caves Rd
Suite 100
Austin, TX 78746-4721
Phone (512) 328-3376

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5991TXMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Dermatology, PA CurrentSince Sep 15, 2015 Accepting new patients
Westlake Dermatology PA Current Accepting new patients
Westlake Dermatology, PA CurrentSince Sep 15, 2015 Accepting new patients
Westlake Dermatology PA Past Accepting new patients
Murray Hill Care Inc. Past Accepting new patients

Locations

12201 Renfert Way
Ste 305
Austin, TX 78758
Phone (513) 279-3376

3800 N Lamar Blvd
Ste 155
Austin, TX 78756
Phone (512) 617-9200

8825 FM 2244 Rd
Ste 100
Austin, TX 78746

401 S FM 620 Rd
Ste 200
Lakeway, TX 78734
Phone (512) 610-0549

Interoperability endpoints

  • Direct secure messaging: minasc@westlake.emadirect.md

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, 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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1194823096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N LAMAR BLVD STE 155",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787560002",
            "telephone_number": "512-617-9200",
            "fax_number": "512-666-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N LAMAR BLVD STE 155",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787560002",
            "telephone_number": "512-617-9200",
            "fax_number": "512-553-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINIDES",
        "first_name": "MINAS",
        "middle_name": "SPIROS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q5991",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "Q5991",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "Q5991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.