Individual provider Active NPI

Matthew F. McCarty, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Austin, TX
National Provider Identifier
1235132432
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
H0615 Issued in TX
Practice address
5200 Davis Lane
Ste B200
Austin, TX 78749
Phone
(512) 834-4141
Fax
(512) 834-4142
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H0615 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X H0615 TX Primary

Addresses

Primary practice location

5200 Davis Lane
Ste B200
Austin, TX 78749

Mailing address

5200 Davis Lane
Ste B200
Austin, TX 78749
Phone (512) 834-4141

Other identifiers 5

IdentifierTypeStateIssuer
130285308MedicaidTX
37-1564010OtherTXTAX ID
8BD570OtherTXBCBS INDIVIDUAL #
8F7963OtherTXMEDICARE PTAN
TXB137878OtherTXMEDICARE PTAN - MARBLE FALLS

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
I20040519000458 TX Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Other (Physician) 3274524327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0615TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew F McCarty MD PLLC Anesthesiology CurrentSince Apr 29, 2008 Accepting new patients
Water Leaf Surgery Center, LTD Past Accepting new patients
Matthew F McCarty MD PLLC Past Accepting new patients
East Texas Anesthesiology Associates, P.a. Anesthesiology Past Accepting new patients
Genorite Pharmacy LLC PastSince Jan 1, 2017 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician Past Accepting new patients

Locations

5200 Davis Ln
Bldg B200
Austin, TX 78749
Phone 5128344141113

500 W Whitestone Blvd
Ste 250
Cedar Park, TX 78613
Phone (512) 246-9772

1706 Highway 1431
Marble Falls, TX 78654
Phone (830) 693-3455

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1235132432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DAVIS LANE",
            "address_2": "STE B200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78749",
            "telephone_number": "512-834-4141",
            "fax_number": "512-834-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DAVIS LANE",
            "address_2": "STE B200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78749",
            "telephone_number": "512-834-4141",
            "fax_number": "512-834-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "MATTHEW",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H0615",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "H0615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130285308",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "37-1564010",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "8BD570",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8F7963",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - MARBLE FALLS",
            "identifier": "TXB137878",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.