NPIMap

Organization Active NPI

Austin Gastroenterology, PLLC

  • Gastroenterology Physician
  • Austin, TX
National Provider Identifier
1316998016
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
AUSTIN GASTROENTEROLOGY, PLLC
Practice address
9211 Waterford Centre Blvd
Ste 200
Austin, TX 78758-7679
Phone
(512) 485-5872
Fax
(512) 420-0397
NPI assigned
May 15, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Stephanie Combs
Title
Manager
Phone
(512) 485-5878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

9211 Waterford Centre Blvd
Ste 200
Austin, TX 78758-7679

Mailing address

PO Box 10597
Austin, TX 78766-1597
Phone (512) 420-0186

Other identifiers 1

IdentifierTypeStateIssuer
141562201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040417000145 TX Part B Supplier - Clinic/Group Practice 9739174954 Receives reassigned benefits from 113 practitioners
Practice locations: Marble Falls, TX; Bee Cave, TX; Cedar Park, TX; Denton, TX; Dripping Springs, TX; Georgetown, TX; Kyle, TX; Leander, TX…

National Provider Directory

National Provider Directory

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

4544 S Lamar Blvd
Ste 620
Austin, TX 78745

7951 Shoal Creek Blvd
Ste 110
Austin, TX 78757
Phone (512) 579-2676

7951 Shoal Creek Blvd
Ste 200
Austin, TX 78757
Phone (512) 454-4588

9211 Waterford Centre Blvd
Ste 200
Austin, TX 78758
Phone (512) 420-0186

1401 Medical Pkwy
Ste 211
Cedar Park, TX 78613
Phone (512) 260-1581

1401 Medical Pkwy
Ste 324
Cedar Park, TX 78613

3201 S Austin Ave
Ste 350
Georgetown, TX 78626
Phone (512) 930-5837

1180 Seton Pkwy
Ste 410
Kyle, TX 78640
Phone (512) 504-0057

7200 Wyoming Springs Dr
Ste 1300
Round Rock, TX 78681

Interoperability endpoints

  • FHIR API: https://f1c3b871-8724-4a21-b291-f8f62dcb574b.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1316998016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661597",
            "telephone_number": "512-420-0186",
            "fax_number": "512-420-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 WATERFORD CENTRE BLVD",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587679",
            "telephone_number": "512-485-5872",
            "fax_number": "512-420-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-485-5878"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141562201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.