Individual provider Active NPI

Alexander Lazar Rasgon, MD, MS

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1215621529
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
BP10083847 Issued in TX
Practice address
Dell Medical School at the University of Texas Gme Offi
1501 Red River, 2ND Floor
Austin, TX 78712
Phone
(512) 495-5555
NPI assigned
Jun 8, 2023
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X BP10083847 TX Primary

Addresses

Primary practice location

Dell Medical School at the University of Texas Gme Offi
1501 Red River, 2ND Floor
Austin, TX 78712

Mailing address

Dell Medical School at the University of Texas Gme Offi
1501 Red River, 2ND Floor
Austin, TX 78712
Phone (650) 384-1807

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
I20250408003532 TX Order and Referring Only - PsychiatryPractitioner - Psychiatry 7719401041

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: alexander.rasgon.1@8363.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1215621529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELL MEDICAL SCHOOL AT THE UNIVERSITY OF TEXAS GME OFFI",
            "address_2": "1501 RED RIVER, 2ND FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "650-384-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELL MEDICAL SCHOOL AT THE UNIVERSITY OF TEXAS GME OFFI",
            "address_2": "1501 RED RIVER, 2ND FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-495-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASGON",
        "first_name": "ALEXANDER",
        "middle_name": "LAZAR",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10083847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.