Individual provider Active NPI

John Bertelson, M.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Austin, TX
National Provider Identifier
1215959697
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
L7311 Issued in TX
Practice address
1600 W 38TH St
Suite 308
Austin, TX 78731-6400
Phone
(512) 324-3540
Fax
(512) 324-3541
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X L7311 TX Primary
Neurology Physician 2084N0400X L7311 TX

Addresses

Primary practice location

1600 W 38TH St
Suite 308
Austin, TX 78731-6400

Mailing address

1400 N Ih 35
Suite 300
Austin, TX 78701-1926
Phone (512) 324-8300

Other identifiers 2

IdentifierTypeStateIssuer
160104904MedicaidTX
160104905MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.bertelson@direct.myteamcare

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
I20031110000014 TX Practitioner - Neurology 5799698460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians
Senior Adults Specialty Healthcare PAGroup PAC ID 5294624516, 3 clinicians
Texas Tech University Health Sciences Center LubbockGroup PAC ID 4385549674, 363 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1600 W 38TH St
200 Tri County Practice Association
Austin, TX 78731-6405
Phone (512) 324-3580

1601 Trinity St
Austin, TX 78712-1765
Phone (833) 882-2737

3215 Steck Ave
Suite 200
Austin, TX 78757-8060
Phone (512) 476-3556

3601 4TH St
Lubbock, TX 79430-9406
Phone (806) 743-7337

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

Merit-based Incentive Payment System (MIPS)

Final score
79.35 of 100Reported as group
Quality
76.32
Improvement activities
40
Cost
74.57

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7311TXMDNeurology Physician
1TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Senior Adults Specialty Healthcare PA CurrentSince Nov 1, 2020 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Oct 1, 2017 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Nov 27, 2016 Accepting new patients
The University of Texas at Austin CurrentSince Oct 1, 2017 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
Seton Family of Doctors CurrentSince Mar 17, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Neurology CurrentSince Nov 27, 2016 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Preferred Imaging of Austin LLC CurrentSince Jun 23, 2015 Accepting new patients
University Health Services Past Accepting new patients

Locations

1601 Trinity St
Stop 804
Austin, TX 78712
Phone (512) 324-7865

3215 Steck Ave
Ste 200
Austin, TX 78757
Phone (512) 476-3556

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Interoperability endpoints

  • Direct secure messaging: john.bertelson.1@16041.direct.athenahealth.com
  • Direct secure messaging: john.bertelson@90921688432644.direct.elationemr.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1215959697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N IH 35",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011926",
            "telephone_number": "512-324-8300",
            "fax_number": "512-324-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "address_2": "SUITE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-324-3540",
            "fax_number": "512-324-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTELSON",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "TX",
            "license": "L7311",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L7311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160104904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160104905",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.bertelson@direct.myteamcare",
            "affiliation": "N",
            "endpointDescription": "Texas Tech Physicians, Lubbock TX",
            "address_1": "3601 4th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794300002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.