Active NPI
John W Kish, MD
- Vascular & Interventional Radiology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A73652
- Practice address
- 12554 Riata Vista Cir
Austin, TX 78727-6431 - Phone
- (512) 795-5100
- Fax
- (512) 795-5122
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | A73652 | CA | Primary |
Addresses
Primary practice location
12554 Riata Vista Cir
Austin, TX 78727-6431
Mailing address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179170902 | Medicaid | TX | |
| 179170904 | Other | TX | CSHCN1 |
| A73652 | Other | CA | MEDICAL LICENSE |
| P00283002 | Other | RRMCARE2 | |
| P00283005 | Other | RRMCARE | |
| 179170901 | Medicaid | TX | |
| 179170903 | Other | TX | CSHCN2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050809000189 | TX | Practitioner - Interventional Radiology | 7315976552 | Reassigns benefits to 2 organizations |
| I20260407003779 | UT | Practitioner - Interventional Radiology | 7315976552 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Temple University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1249 W Gemini CT
Mayflower MNT, UT 84032-1779
Phone (512) 795-5100
1600 Barton Hills Dr
Austin, TX 78704-2741
Phone (512) 795-5100
208 Brandon Way
Austin, TX 78733-3269
Phone (512) 795-5100
Hospital & facility affiliations
- Ascension Seton Medical Center Austin
- St David'S Medical Center
- Christus Santa Rosa Hospital-San Marcos
- Ascension Seton Hays
- St David'S South Austin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73652 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ara/St. David'S Imaging, LP | Current | Accepting new patients | |
| Austin Radiological Association | Current | Accepting new patients | |
| Ara/St. David'S Imaging, LP | Current | Accepting new patients | |
| Ara/St. David'S Imaging, LP | Current | Accepting new patients | |
| Singleton Associates PA | Vascular & Interventional Radiology | Current | Accepting new patients |
| Ara/St. David'S Imaging, LP | Current | Accepting new patients | |
| Austin Radiological Association | Current | Accepting new patients | |
| Texas Orthopedics Sports & Rehabilitation Associates PA | Past | Accepting new patients | |
| Texas Orthopedics, Sports & Rehabilitation Associates, PA | Past | Accepting new patients |
Locations
1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090
2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474
1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761
6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505
4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402
1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380
11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457
901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199
170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150
12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158
2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195
1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831
5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
TX, UT, Vascular & Interventional Radiology
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1225015530
-
- Radiology Clinic/Center
- Georgetown, TX
- NPI 1528373636
-
- Mobile Radiology Clinic/Center
- Austin, TX
- NPI 1851570592
-
- Radiology Clinic/Center
- Houston, TX
- NPI 1356534465
-
- Orthopaedic Surgery Physician
- Austin, TX
- NPI 1346244688
-
- Orthopaedic Surgery Physician
- Bastrop, TX
- NPI 1467088567
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
Hospital
-
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
Hospital
-
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
Hospital
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1275537979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12554 RIATA VISTA CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276431",
"telephone_number": "512-795-5100",
"fax_number": "512-795-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12554 RIATA VISTA CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276431",
"telephone_number": "512-795-5100",
"fax_number": "512-795-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISH",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A73652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179170902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN1",
"identifier": "179170904",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A73652",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE2",
"identifier": "P00283002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE",
"identifier": "P00283005",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179170901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN2",
"identifier": "179170903",
"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 Jan 12, 2015; 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.