Individual provider Active NPI

Charles B Nemeroff, MD PHD

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1326228347
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 108139 Issued in FL
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

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000474988EMedicaidGA
2228500MedicaidFL

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
I20181113002022 TX Practitioner - Psychiatry 6507937653 Reassigns benefits to 2 organizations

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
The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians
University of Texas at Austin Dell Medical SchoolGroup PAC ID 7113401340, 144 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ME 108139FLMDPsychiatry Physician
034916GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School CurrentSince Nov 1, 2018 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
University of Texas at Austin CurrentSince Nov 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.