Individual provider Active NPI

Rebecca M Verellen, MD

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1336329903
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P4001 Issued in TX
Practice address
601 W 17TH St
Austin, TX 78701-1103
Phone
(512) 708-9200
Fax
(512) 532-6261
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P4001 TX Primary

Addresses

Primary practice location

601 W 17TH St
Austin, TX 78701-1103

Mailing address

601 W 17TH St
Austin, TX 78701-1103
Phone (512) 708-9200

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
I20130531000480 TX Practitioner - Neurology 8426296542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at San Antonio, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

601 W 17TH St
Austin, TX 78701-1103
Phone (512) 708-9200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Clinic PA Neurology CurrentSince Jun 10, 2014 Accepting new patients

Locations

601 W 17th St
Austin, TX 78701
Phone (512) 708-9200

Interoperability endpoints

  • Direct secure messaging: rebecca.verellen.1@8742.direct.athenahealth.com

Organizations & group practices 1

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1336329903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 17TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011103",
            "telephone_number": "512-708-9200",
            "fax_number": "512-532-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 17TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011103",
            "telephone_number": "512-708-9200",
            "fax_number": "512-532-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERELLEN",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P4001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.