Individual provider Active NPI

Vyshnavi Kone, MD

  • Internal Medicine Physician
  • Georgetown, TX
National Provider Identifier
1225529712
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T5151 Issued in TX
Practice address
2000 Scenic Dr
Georgetown, TX 78626-7726
Phone
(512) 943-3000
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T5151 TX Primary

Addresses

Primary practice location

2000 Scenic Dr
Georgetown, TX 78626-7726

Mailing address

605 Brave Face St
Leander, TX 78641-3292

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
I20220928003568 TX Practitioner - Internal Medicine 6709262736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5151TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Pat Associates PA Internal Medicine CurrentSince Jun 4, 2022 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Jun 4, 2022 Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients

Locations

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Organizations & group practices 3

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 2

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1225529712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BRAVE FACE ST",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "512-943-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONE",
        "first_name": "VYSHNAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T5151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.