Individual provider Active NPI

Amin G Mery, MD

  • Allergy & Immunology Physician
  • Austin, TX
National Provider Identifier
1225035363
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
L0421 Issued in TX
Practice address
4 Lakeway Centre CT
Austin, TX 78734
Phone
(512) 610-3110
Fax
(855) 657-6065
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X L0421 TX Primary

Addresses

Primary practice location

4 Lakeway Centre CT
Austin, TX 78734

Mailing address

4 Lakeway Centre CT
Austin, TX 78734
Phone (512) 610-3110

Other identifiers 2

IdentifierTypeStateIssuer
8CD502OtherTXBCBS INDIVIDUAL
189537702MedicaidTX

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
I20130501000474 TX Practitioner - Allergy/Immunology 5193708030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Country Allergy and Asthma PLLCGroup PAC ID 8426295908, 5 clinicians

Practice addresses (Care Compare)

4 Lakeway Centre CT
Suite a
Lakeway, TX 78734-2757
Phone (512) 610-3110

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0421TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Allergy & Asthma, PLLC Allergy & Immunology CurrentSince Jul 7, 2024 Accepting new patients
Hill Country Allergy & Asthma, PLLC Allergy & Immunology CurrentSince Nov 3, 2012 Accepting new patients
Hill Country Medical Infusion PLLC Current Accepting new patients
Capital Otolaryngology Head & Neck Surgeons, P.a. Past Accepting new patients
Austin Family Allergy & Asthma, PA Allergy & Immunology Past Accepting new patients
Hill Country Allergy & Asthma, PLLC Allergy & Immunology Past Accepting new patients

Locations

800 W Highway 290
Ste 200
Dripping Springs, TX 78620
Phone (512) 368-4548

4 Lakeway Centre Ct
Lakeway, TX 78734
Phone (512) 610-3110

4 Lakeway Centre Ct
Ste A
Lakeway, TX 78734
Phone (512) 610-3110

800 Crystal Falls Pkwy
Unit 3
Leander, TX 78641
Phone (512) 610-3110

Organizations & group practices 6

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1225035363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAKEWAY CENTRE CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-610-3110",
            "fax_number": "855-657-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAKEWAY CENTRE CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-610-3110",
            "fax_number": "855-657-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERY",
        "first_name": "AMIN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L0421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8CD502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189537702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.