NPIMap

Individual provider Active NPI

Vincent M. Tjia, MD

  • Nephrology Physician
  • Austin, TX
National Provider Identifier
1306803937
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L5587 Issued in TX
Practice address
321 W Ben White Blvd
Austin, TX 78704-7035
Phone
(512) 320-1500
Fax
(512) 459-1399
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L5587 TX Primary

Addresses

Primary practice location

321 W Ben White Blvd
Austin, TX 78704-7035

Mailing address

408 W 45TH St
Austin, TX 78751-3014
Phone (512) 320-1500

Other identifiers 1

IdentifierTypeStateIssuer
164930301MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VINCENT.TJIA@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001164 TX Practitioner - NephrologyPractitioner - Internal Medicine 1951387851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

321 W Ben White
Suite 205
Austin, TX 78704-7087
Phone (512) 451-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates PA Nephrology CurrentSince Nov 26, 2022 Accepting new patients
Austin Kidney Associates, P. a. CurrentSince Nov 26, 2022 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

321 W Ben White Blvd
Austin, TX 78704

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

408 W 45th St
Austin, TX 78751
Phone (512) 451-5800

321 W Ben White Blvd
Ste 205
Austin, TX 78704
Phone (512) 451-5800

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

Interoperability endpoints

  • Direct secure messaging: vtjia39668@direct.davitaphysiciansolutions.com
  • Direct secure messaging: vincent.tjia@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 6162-tjia-vincent@direct.leadingreach.com

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.

Hospital & facility affiliations 8

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1306803937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047035",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJIA",
        "first_name": "VINCENT",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L5587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164930301",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VINCENT.TJIA@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12221 N Mopac Expy",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787582401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.