Individual provider Active NPI

Ullattil N Kumar, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1275694291
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F3527 Issued in TX
Practice address
2911 Medical Arts St Ste 10
Austin, TX 78705-3302
Phone
(866) 473-0663
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F3527 TX
Internal Medicine Physician 207R00000X F3527 TX Primary

Addresses

Primary practice location

2911 Medical Arts St Ste 10
Austin, TX 78705-3302

Mailing address

2911 Medical Arts St Ste 10
Austin, TX 78705-3302
Phone (866) 473-0663

Other practice location 1

2200 Park Bend Dr Bldg 2
Suite 300
Austin, TX 78758-5387
Phone (512) 836-5665

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000889 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Family PracticePractitioner - Pulmonary DiseasePractitioner - Preventive Medicine 7012988686 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F3527TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Texas PA CurrentSince Jul 1, 2023 Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1275694291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "866-473-0663",
            "fax_number": "866-473-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "866-473-0663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Park Bend Dr Bldg 2",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585387",
            "country_code": "US",
            "telephone_number": "512-836-5665",
            "fax_number": "512-997-9092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ULLATTIL",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F3527",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F3527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.