Jonathan R Klocek, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K0329 Issued in TX

Practice address

1004 W 32ND St Ste 400
Austin, TX 78705-1915

Phone

(512) 454-5171

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 20, 2023 through Dec 20, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jonathan.klocek.1@28513.direct.athenahealth.com
• Direct secure messaging: jonathan.klocek.1@27378.direct.athenahealth.com

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1265412910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-454-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-454-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCEK",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0329",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pakanok Klingfoi
• Kayla Klingseisen, CRNA
• Garrett Klingsporn, D.D.S.
• Rebecca Kloc, LPC
• Jodi M Klocek, PHARM.D.
• Sara Nicole Klopp, PA-C
• Paul Kloppe, AE-C, RRT
• Kyndal Elizabeth Klose, RDN, LD
• Kimberly Klotz, RPH
• Miriam Lee Klotz, LCSW

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.