Individual provider Active NPI

Kellie Elizabeth Reed, M.D.

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1285993535
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
Q8132 Issued in TX
Practice address
8825 Bee Caves Rd Ste 100
Austin, TX 78746-4721
Phone
(512) 328-3376
Fax
(512) 666-3767
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Q8132 TX Primary

Addresses

Primary practice location

8825 Bee Caves Rd Ste 100
Austin, TX 78746-4721

Mailing address

8825 Bee Caves Rd Ste 100
Austin, TX 78746-4721
Phone (512) 328-3376

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
I20160614000575 TX Practitioner - Dermatology 6204127731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westlake Dermatology PAGroup PAC ID 6305817230, 52 clinicians

Practice addresses (Care Compare)

8825 Bee Caves Rd
Suite 100
Austin, TX 78746-4721
Phone (512) 328-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions299
Removal or shaving of skin growth1-10
Skin biopsy147

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Dermatology PA Dermatology Current Accepting new patients
Westlake Dermatology, PA Dermatology CurrentSince Dec 1, 2019 Accepting new patients
Westlake Dermatology, PA Dermatology CurrentSince Dec 1, 2019 Accepting new patients

Locations

12201 Renfert Way
Ste 305
Austin, TX 78758
Phone (513) 279-3376

3637 Far West Blvd
Ste E
Austin, TX 78731
Phone (512) 615-2737

8825 FM 2244 Rd
Ste 100
Austin, TX 78746

200 N Lakeline Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 617-3000

401 S FM 620 Rd
Ste 200
Lakeway, TX 78734
Phone (512) 610-0549

1760 Round Rock Ave
Round Rock, TX 78681
Phone (512) 583-3376

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.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1285993535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 BEE CAVES RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464721",
            "telephone_number": "512-328-3376",
            "fax_number": "512-666-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 BEE CAVES RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464721",
            "telephone_number": "512-328-3376",
            "fax_number": "512-666-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KELLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q8132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.