NPIMap

Organization Active NPI

Austin Infectious Disease Consultants, PA 080191

  • Infectious Disease Physician
  • Austin, TX
National Provider Identifier
1205947710
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
AUSTIN INFECTIOUS DISEASE CONSULTANTS, PA 080191
Practice address
1301 W 38TH St Ste 403
Austin, TX 78705-1013
Phone
(512) 459-0301
Fax
(512) 459-9701
NPI assigned
Aug 31, 2006
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Ariana Mares, CMM
Title
Practice Manager
Phone
(512) 593-7902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X Primary

Addresses

Primary practice location

1301 W 38TH St Ste 403
Austin, TX 78705-1013

Mailing address

1301 W 38TH St
Ste 403
Austin, TX 78705-1000
Phone (512) 459-0301

Other identifiers 2

IdentifierTypeStateIssuer
1216884802MedicaidTX
00F59EOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061018000243 TX Part B Supplier - Clinic/Group Practice 9436155264 Receives reassigned benefits from 11 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

1301 W 38th St
Ste 108
Austin, TX 78705
Phone (512) 459-0301

1301 W 38th St
Ste 403
Austin, TX 78705
Phone (512) 459-0301

1301 W 38th St
Ste 404
Austin, TX 78705
Phone (512) 459-0301

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1205947710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST",
            "address_2": "STE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051000",
            "telephone_number": "512-459-0301",
            "fax_number": "512-459-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051013",
            "telephone_number": "512-459-0301",
            "fax_number": "512-459-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN INFECTIOUS DISEASE CONSULTANTS, PA 080191",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "MARES",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "512-593-7902",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1216884802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00F59E",
            "state": "TX"
        }
    ],
    "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 Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.