Individual provider Active NPI

Eduardo J. Cepeda, M.D.

  • Rheumatology Physician
  • West Lake Hills, TX
National Provider Identifier
1285609503
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M0034 Issued in TX
Practice address
4701 Bee Caves Rd Ste 201
West Lake Hills, TX 78746-5366
Phone
(512) 518-4992
Fax
(512) 901-3918
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X M0034 TX Primary

Addresses

Primary practice location

4701 Bee Caves Rd Ste 201
West Lake Hills, TX 78746-5366

Mailing address

4701 Bee Caves Rd Ste 201
West Lake Hills, TX 78746-5366
Phone (512) 518-4992

Other identifiers 1

IdentifierTypeStateIssuer
174294201MedicaidTX

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
I20050505000368 TX Practitioner - Rheumatology 5991744682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University Central del Caribe Escuela de Medicina, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ctra PLLCGroup PAC ID 0941671549, 5 clinicians

Practice addresses (Care Compare)

4701 Bee Caves Rd
Suite 201
West Lake Hills, TX 78746-5366
Phone (512) 518-4992

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0034TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ctra PLLC Current Accepting new patients
Ctra PLLC Rheumatology CurrentSince Dec 1, 2022 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients
Austin Diagnostic Clinic, PA PastSince Dec 20, 2022 Accepting new patients

Locations

2005 N Lakeline Blvd
Bldg B
Cedar Park, TX 78613
Phone (512) 518-4690

2005 N Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 518-4992

4701 Bee Caves Rd
Ste 201
West Lake Hills, TX 78746
Phone (512) 518-4992

Interoperability endpoints

  • Direct secure messaging: centraltexasrheumatologyassoc.eduardocepeda@153916.advancedmd-direct.com

Organizations & group practices 4

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1285609503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVES RD STE 201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "512-518-4992",
            "fax_number": "512-518-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVES RD STE 201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "512-518-4992",
            "fax_number": "512-901-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPEDA",
        "first_name": "EDUARDO",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M0034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174294201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.