Individual provider Active NPI

Clement Carol Yeh, MD

  • Anesthesiology Physician
  • Austin, TX
National Provider Identifier
1275744435
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M5594 Issued in TX
Practice address
9707 Anderson Mill Road
Suite 230
Austin, TX 78750
Phone
(512) 219-8787
Fax
(512) 219-8788
NPI assigned
May 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A112703 CA
Pain Medicine Physician 208VP0000X A112703 CA
Pain Medicine Physician 208VP0000X M5594 TX
Anesthesiology Physician 207L00000X M5594 TX Primary

Addresses

Primary practice location

9707 Anderson Mill Road
Suite 230
Austin, TX 78750

Mailing address

13617 Caldwell Dr
Ste 100
Austin, TX 78750-2324
Phone (512) 219-8787

Other identifiers 1

IdentifierTypeStateIssuer
2169047-01MedicaidTX

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
I20101028001420 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 4789878216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Republic Spine and Pain, PAGroup PAC ID 9335333863, 14 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

13617 Caldwell Dr
Suite 100
Austin, TX 78750-2324
Phone (512) 219-8787

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.64 of 100Reported as individual
Quality
78.72
Improvement activities
40
Cost
77.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112703CAMDAnesthesiology Physician
M5594TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spicewood Surgery Center LLC Current Accepting new patients

Locations

9707 Anderson Mill Rd
Ste 230
Austin, TX 78750
Phone (512) 219-8787

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18125/brand/1/csg/1/fhir/r4
  • Direct secure messaging: clement.yeh.1@18125.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1275744435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13617 CALDWELL DR",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502324",
            "telephone_number": "512-219-8787",
            "fax_number": "512-219-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL ROAD",
            "address_2": "SUITE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750",
            "telephone_number": "512-219-8787",
            "fax_number": "512-219-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEH",
        "first_name": "CLEMENT",
        "middle_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-26",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A112703",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A112703",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "M5594",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M5594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2169047-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.