Active NPI
Fatima S Hatia, MD
- Emergency Medicine Physician
- Lakeway, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R0016
- Practice address
- 1010 Ranch Road 620 S
Ste 107
Lakeway, TX 78734 - Phone
- (512) 960-2165
- Fax
- (512) 713-0730
- NPI assigned
- Jul 6, 2009
- Last updated
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301095217 | MI | |
| Emergency Medicine Physician | 207P00000X | 4301095217 | MI | |
| Emergency Medicine Physician | 207P00000X | R0016 | TX | Primary |
Addresses
Primary practice location
1010 Ranch Road 620 S
Ste 107
Lakeway, TX 78734
Mailing address
1010 Ranch Road 620 S
Ste 107
Lakeway, TX 78734
Phone (512) 960-2165
Other practice location 1
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4400
Other practice location 2
6836 Bee Caves Rd
Austin, TX 78746-5059
Phone (512) 327-4243
Other practice location 3
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4400
Other practice location 4
1518 Ranch Road 620 S Ste 100
Lakeway, TX 78734
Phone (512) 524-2290
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1010 Ranch Rd 620
Suite 107
Lakeway, TX 78734-5638
Phone (512) 960-2165
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301095217 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Hill Country Health PLLC | Current | Accepting new patients | |
| Westlake Lera Acquisition Partners LLC | Past | Accepting new patients | |
| Kalamazoo Emergency Associates, PLC | Emergency Medicine | Past | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1010 Ranch Road 620 S
Ste 107
Lakeway, TX 78734
Phone (512) 233-4607
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECAFCD/Endpoint/ECAFCD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lakeway, TX
- NPI 1720686496
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
dba Texas Complete Urgent Care Physicians
- Urgent Care Clinic/Center
- Lakeway, TX
- NPI 1285088161
-
dba Vik Complete Care Westlake
- Emergency Care Clinic/Center
- Austin, TX
- NPI 1255225561
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1942251244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1245469832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 RANCH ROAD 620 S",
"address_2": "STE 107",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-960-2165",
"fax_number": "512-713-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 RANCH ROAD 620 S",
"address_2": "STE 107",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-960-2165",
"fax_number": "512-713-0730"
}
],
"practiceLocations": [
{
"address_1": "1000 Oakland Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490081282",
"country_code": "US",
"telephone_number": "269-337-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6836 Bee Caves Rd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787465059",
"country_code": "US",
"telephone_number": "512-327-4243",
"fax_number": "512-327-4245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Oakland Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490081282",
"country_code": "US",
"telephone_number": "269-337-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1518 Ranch Road 620 S Ste 100",
"address_purpose": "LOCATION",
"city": "Lakeway",
"state": "TX",
"postal_code": "78734",
"country_code": "US",
"telephone_number": "512-524-2290",
"fax_number": "512-356-9358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATIA",
"first_name": "FATIMA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2024-07-26",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301095217",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301095217",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R0016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.