NPIMap

Organization Active NPI

Capital Otolaryngology Head & Neck Surgeons, P.a.

Doing business as Capital Otolaryngology

  • Specialist
  • Austin, TX
National Provider Identifier
1235343344
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAPITAL OTOLARYNGOLOGY HEAD & NECK SURGEONS, P.A.
Doing business as
Capital Otolaryngology
Practice address
12309 N Mopac Expy Ste 100
Austin, TX 78758-2604
Phone
(512) 339-4040
Fax
(512) 997-9077
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Mr. James Lopez
Title
Practice Administrator
Phone
(512) 339-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

12309 N Mopac Expy Ste 100
Austin, TX 78758-2604

Mailing address

12309 N Mopac Expy Ste 100
Austin, TX 78758-2604
Phone (512) 339-4040

Other practice location 1

4 Lakeway Centre Ct Unit B
Lakeway, TX 78734-2757
Phone (512) 339-4040

Other names 1

  • Capital Otolaryngology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708001459 TX Part B Supplier - Clinic/Group Practice 3678551496 Receives reassigned benefits from 10 practitioners
Practice locations: Austin, TX; Dripping Springs, TX; Lakeway, TX; Marble Falls, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2188897Capital Otolaryngology Head and Neck Surgeons12309 N Mopac Expressway, Austin, TX 78758Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Locations

12309 N Mopac Expy
Ste 100
Austin, TX 78758
Phone (512) 339-4040

4 Lakeway Centre Ct
Unit B
Lakeway, TX 78734
Phone (512) 339-4040

4 Lakeway Centre Ct
Ste B
Lakeway, TX 78734
Phone (512) 667-7921

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1235343344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582604",
            "telephone_number": "512-339-4040",
            "fax_number": "512-339-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582604",
            "telephone_number": "512-339-4040",
            "fax_number": "512-997-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Lakeway Centre Ct Unit B",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787342757",
            "country_code": "US",
            "telephone_number": "512-339-4040",
            "fax_number": "512-339-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL OTOLARYNGOLOGY HEAD & NECK SURGEONS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "512-339-4040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Otolaryngology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.