Active NPI
Charles B Nemeroff, MD PHD
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1326228347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 108139
- Practice address
- 1601 Trinity St
Austin, TX 78712-1765 - Phone
- (512) 495-5728
- Fax
- (512) 495-5482
- NPI assigned
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 034916 | GA | |
| Psychiatry Physician | 2084P0800X | ME 108139 | FL | Primary |
Addresses
Primary practice location
1601 Trinity St
Austin, TX 78712-1765
Mailing address
1601 Trinity St
Austin, TX 78712-1765
Phone (512) 495-5728
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000474988E | Medicaid | GA | |
| 2228500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1601 Trinity St
Austin, TX 78712-1765
Phone (833) 882-2737
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.35 of 100
- Quality
- 76.32
- Improvement activities
- 40
- Cost
- 74.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 108139 | FL | MD | Psychiatry Physician |
| 034916 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas at Austin Dell Medical School | Current | Accepting new patients | |
| University of Texas at Austin Dell Medical School | Current | Accepting new patients | |
| University of Texas at Austin | Current | Accepting new patients |
Locations
1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737
1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5300
Interoperability endpoints
- charles.nemeroff.1@16041.direct.athenahealth.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.
-
- General Practice Physician
- Austin, TX
- NPI 1073066239
-
- Audiologist
- Austin, TX
- NPI 1871522771
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1780218305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1326228347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 TRINITY ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121765",
"telephone_number": "512-495-5728",
"fax_number": "512-495-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 TRINITY ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121765",
"telephone_number": "512-495-5728",
"fax_number": "512-495-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMEROFF",
"first_name": "CHARLES",
"middle_name": "B",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "034916",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 108139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000474988E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2228500",
"state": "FL"
}
],
"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 Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.