Individual provider Active NPI

Lysbeth Wheelus Miller, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1285708305
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F4283 Issued in TX
Practice address
313 E 12TH St
Ste 102
Austin, TX 78701-1954
Phone
(512) 324-9650
Fax
(512) 324-9651
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F4283 TX Primary

Addresses

Primary practice location

313 E 12TH St
Ste 102
Austin, TX 78701-1954

Mailing address

1601 Rio Grande St
Suite 340
Austin, TX 78701-1137
Phone (512) 324-8960

Other identifiers 1

IdentifierTypeStateIssuer
137136113MedicaidTX

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
I20050907000328 TX Practitioner - Internal Medicine 0042242448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, shared by 33 NPIs, 165 clinicians

Practice addresses (Care Compare)

2901 Montopolis Dr
Austin, TX 78741-6411
Phone (512) 978-9955

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Utmb Austin - Initiatives Past Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

1313 Red River St
Ste 220
Austin, TX 78701
Phone (512) 324-7300

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

313 E 12th St
Ste 104
Austin, TX 78701
Phone (409) 772-7812

911 W 38th St
Ste 202
Austin, TX 78705
Phone (512) 324-8670

313 E 12th St
Ste 102
Austin, TX 78701
Phone (512) 324-9650

2811 E 2nd St
Austin, TX 78702
Phone (512) 324-4930

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.

Hospital & facility affiliations 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1285708305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RIO GRANDE ST",
            "address_2": "SUITE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011137",
            "telephone_number": "512-324-8960",
            "fax_number": "512-324-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST",
            "address_2": "STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011954",
            "telephone_number": "512-324-9650",
            "fax_number": "512-324-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LYSBETH",
        "middle_name": "WHEELUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F4283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137136113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.