Active NPI
Minas Spiros Constantinides, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- Q5991
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Columbia University College of Physicians and Surgeons, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| Q5991 | TX | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westlake Dermatology, PA | Current | Accepting new patients | |
| Westlake Dermatology PA | Current | Accepting new patients | |
| Westlake Dermatology, PA | Current | 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
- 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.
-
- Dermatology Physician
- Austin, TX
- NPI 1518939347
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1942344809
-
- Dermatology Physician
- Alamo Heights, TX
- NPI 1265086045
-
- Dermatology Physician
- Lakeway, TX
- NPI 1891029476
-
dba Westlake Dermatology
- Dermatology Physician
- Round Rock, TX
- NPI 1477678993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.