Individual provider Active NPI

Poonam Rane, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1194959932
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P2054 Issued in TX
Practice address
12505 Hymeadow Dr Ste 2a
Austin, TX 78750-1848
Phone
(512) 996-1488
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P2054 TX Primary

Addresses

Primary practice location

12505 Hymeadow Dr Ste 2a
Austin, TX 78750-1848

Mailing address

12505 Hymeadow Dr Ste 2a
Austin, TX 78750-1848
Phone (512) 996-1488

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
I20120920000278 TX Practitioner - Family Practice 3375791163

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, shared by 33 NPIs, 165 clinicians

Practice addresses (Care Compare)

2901 Montopolis Dr
Austin, TX 78741-6411
Phone (512) 978-9955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2054TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Care Clinic P a Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Covenant Medical Group Family Medicine PastSince Jul 1, 2023 Accepting new patients

Locations

12505 Hymeadow Dr
Ste 2B
Austin, TX 78750
Phone (512) 258-8300

Organizations & group practices 2

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1194959932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 HYMEADOW DR STE 2A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501848",
            "telephone_number": "512-996-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 HYMEADOW DR STE 2A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501848",
            "telephone_number": "512-996-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANE",
        "first_name": "POONAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P2054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.