Individual provider Active NPI

Renee Higgerson, M.D.

  • Pediatric Critical Care Medicine Physician
  • Austin, TX
National Provider Identifier
1285747717
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
K7033 Issued in TX
Practice address
4900 Mueller Blvd
C/O Dell Children'S Medical Center
Austin, TX 78723-3079
Phone
(512) 324-0000
Fax
(512) 324-0721
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X K7033 TX Primary

Addresses

Primary practice location

4900 Mueller Blvd
C/O Dell Children'S Medical Center
Austin, TX 78723-3079

Mailing address

4900 Mueller Blvd
C/O Dell Children'S Medical Center
Austin, TX 78723-3079
Phone (512) 324-0000

Other identifiers 1

IdentifierTypeStateIssuer
106194703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Oral & Maxillofacial Surgery CurrentSince Jan 14, 2010 Accepting new patients
Dell Children'S Medical Group CurrentSince Jan 1, 2018 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Dell Children'S Medical Group CurrentSince Jan 1, 2018 Accepting new patients
Pediatric Critical Care Associates Pediatric Critical Care Medicine CurrentSince Jan 14, 2010 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

601 E 15th St
#44
Austin, TX 78701

1410 Ih 35 N
Ste 200
Austin, TX 78701
Phone (512) 324-8480

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1400 N Interstate 35
Austin, TX 78701
Phone (512) 324-8565

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

Organizations & group practices 6

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1285747717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD",
            "address_2": "C/O DELL CHILDREN'S MEDICAL CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0000",
            "fax_number": "512-324-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD",
            "address_2": "C/O DELL CHILDREN'S MEDICAL CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0000",
            "fax_number": "512-324-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGERSON",
        "first_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "K7033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106194703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.