Individual provider Active NPI

Michael Fernando Lenis, M.D.

  • Interventional Cardiology Physician
  • Round Rock, TX
National Provider Identifier
1295730828
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
J8639 Issued in TX
Practice address
301 Seton Pkwy
Suite 302
Round Rock, TX 78665-8002
Phone
(512) 324-4812
Fax
(512) 324-4728
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X J8639 TX Primary
Cardiovascular Disease Physician 207RC0000X J8639 TX

Addresses

Primary practice location

301 Seton Pkwy
Suite 302
Round Rock, TX 78665-8002

Mailing address

4616 W Howard LN
Austin, TX 78728-6300
Phone (512) 324-8960

Other identifiers 8

IdentifierTypeStateIssuer
8CN860OtherTXBCBS
192863205MedicaidTX
192863208MedicaidTX
8ET185OtherTXBCBS
P01364918OtherTXRAILROAD MEDICARE
192863206MedicaidTX
P00822021OtherTXRAILROAD MEDICARE
192863207MedicaidTX

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
I20080607000008 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8729007646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1101 Wolf Lake Dr
Georgetown, TX 78628-3778

1180 Seton Pkwy
Kyle, TX 78640-6178

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7202

1401 Medical Pkwy
Suite 207
Cedar Park, TX 78613-5012
Phone (512) 324-4812

1905 SW H K Dodgen Loop
Ascension Medical Group Temple
Temple, TX 76502-1814
Phone (254) 298-2682

1909 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (877) 324-3310

19376 Ronald W Reagan Blvd
BLDG B Suite 200
Georgetown, TX 78628-3100
Phone (512) 324-6720

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

301 Seton Pkwy
Round Rock, TX 78665-8003

3201 S Water St
Tri County Prac Assoc
Burnet, TX 78611-4510
Phone (512) 715-3000

4207 James Casey St
Suite 317
Austin, TX 78745-3362
Phone (512) 324-3447

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
  • Ascension Seton Highland Lakes Hospital, Burnet, TX, CCN 451365
  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8639TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jan 6, 2014 Accepting new patients
Seton Family of Doctors Cardiovascular Disease CurrentSince Jan 6, 2014 Accepting new patients
Tri-County Clinical Cardiovascular Disease Current Accepting new patients
CTMD LLC Dba Parkside Heart Care Past Accepting new patients
Parkside Cardiology LLC Cardiovascular Disease Past Accepting new patients
Texas Cardiovascular Consultants, P.a. Cardiovascular Disease Past Accepting new patients
Texas Cardiovascular Consultants, PA Cardiovascular Disease Past Accepting new patients
Seton Family of Doctors Cardiovascular Disease Past Accepting new patients

Locations

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

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

12221 N Mopac Expy
#D
Austin, TX 78758
Phone (513) 901-2503

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

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

3721 Williams Dr
Georgetown, TX 78628
Phone (512) 869-7310

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 Seton Pkwy
Ste 302
Round Rock, TX 78665
Phone (512) 324-4812

Organizations & group practices 8

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 3

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1295730828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W HOWARD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286300",
            "telephone_number": "512-324-8960",
            "fax_number": "512-324-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SETON PKWY",
            "address_2": "SUITE 302",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658002",
            "telephone_number": "512-324-4812",
            "fax_number": "512-324-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENIS",
        "first_name": "MICHAEL",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "J8639",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J8639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CN860",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192863205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192863208",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8ET185",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01364918",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192863206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00822021",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192863207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.