Active NPI
Scott R. Elkin, DO
- Psychiatry Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G1644
- Practice address
- 3705 Medical Pkwy #450
Austin, TX 78705-1024 - Phone
- (512) 306-0061
- Fax
- (512) 306-0069
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G1644 | TX | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | G1644 | TX |
Addresses
Primary practice location
3705 Medical Pkwy #450
Austin, TX 78705-1024
Mailing address
3705 Medical Pkwy #450
Austin, TX 78705-1024
Phone (512) 306-0061
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A6579 | Other | TX | BLUE CROSS |
| 00N08V | Other | TX | BCBS |
| 132050902 | Medicaid | TX | |
| P00009409 | Other | TX | RAILROAD MEDICARE |
| 8F10233 | Other | TX | MEDICARE PTAN |
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
- Psychiatry
- Education
- Michigan State University College of Osteopathic Medicine, 1975
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3705 Medical Pkwy
Suite 450
Austin, TX 78705-1024
Phone (512) 306-0061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1644 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Neurohealth Texas PLLC | Psychiatry | Current | Accepting new patients |
| Emamefe Okinedo DMD PLLC | Past | Accepting new patients | |
| Senior Adults Specialty Healthcare PA | Geriatric Psychiatry | Past | Accepting new patients |
| Austin Mind Care PLLC | Past | Accepting new patients |
Locations
3705 Medical Pkwy
Ste 450
Austin, TX 78705
Phone (512) 306-0061
4009 Banister Ln
Ste 360
Austin, TX 78704
Phone 51287939542916
2901 Caballo Ranch Blvd
Ste 6D
Cedar Park, TX 78641
Phone (512) 851-1220
23530 Kingsland Blvd
Ste 301
Katy, TX 77494
Phone (281) 769-3689
820 Lawrence Rd
Ste 126
Kemah, TX 77565
Phone (832) 536-7988
2950 Cullen Blvd
Ste 109
Pearland, TX 77584
Phone (281) 406-1594
21922 Bellaire Blvd
Ste 400
Richmond, TX 77407
Phone (346) 762-2751
1301 S Capital of Texas Hwy
Ste 138A
West Lake Hills, TX 78746
Phone (737) 239-0020
Interoperability endpoints
- scott.elkin.1@18773.direct.athenahealth.com
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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1487663274
-
- Clinical Nurse Specialist
- Austin, TX
- NPI 1811872344
-
- Geriatric Psychiatry Physician
- Austin, TX
- NPI 1639170541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1265433080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY #450",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051024",
"telephone_number": "512-306-0061",
"fax_number": "512-306-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY #450",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051024",
"telephone_number": "512-306-0061",
"fax_number": "512-306-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKIN",
"first_name": "SCOTT",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G1644",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "TX",
"license": "G1644",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8A6579",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00N08V",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132050902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00009409",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8F10233",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 22, 2014; 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.