Individual provider Active NPI

Keith S Garcia, MD

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1205854783
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N7696 Issued in TX
Practice address
13341 US 290
BLDG 1-103
Austin, TX 78737
Phone
(512) 829-4210
NPI assigned
Jul 17, 2006
Last updated
May 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2002010045 MO
Psychiatry Physician 2084P0800X N7696 TX Primary

Addresses

Primary practice location

13341 US 290
BLDG 1-103
Austin, TX 78737

Mailing address

PO Box 157
Driftwood, TX 78619-0157
Phone (512) 829-4210

Other identifiers 1

IdentifierTypeStateIssuer
219524001MedicaidTX

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
I20110317000938 TX Practitioner - Psychiatry 5193717718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

840 County Rd
Suite 420
Spicewood, TX 78669-3077
Phone (512) 842-7034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002010045MOMDPsychiatry Physician
N7696TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatry, PLLC Psychiatry CurrentSince May 15, 2017 Accepting new patients
Tri-County Clinical Past Accepting new patients
PB Texas Behavioral Care, LLC Past Accepting new patients
Virtue Recovery Center Past Accepting new patients

Locations

13341 W US 290 Hwy
Ste 1103
Austin, TX 78737
Phone (512) 829-4210

440 Fischer Store Rd
Wimberley, TX 78676
Phone (512) 808-4057

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1205854783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "DRIFTWOOD",
            "state": "TX",
            "postal_code": "786190157",
            "telephone_number": "512-829-4210",
            "fax_number": "512-394-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13341 US 290",
            "address_2": "BLDG 1-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78737",
            "telephone_number": "512-829-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KEITH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2002010045",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N7696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219524001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.