Individual provider Active NPI

Katharina Hathaway, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1346224094
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L7412 Issued in TX
Practice address
3112 Windsor Rd
Suite A239
Austin, TX 78703-2350
Phone
(512) 680-9880
Fax
(512) 478-7608
NPI assigned
Dec 5, 2005
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L7412 TX
Family Medicine Physician 207Q00000X L7412 TX Primary

Addresses

Primary practice location

3112 Windsor Rd
Suite A239
Austin, TX 78703-2350

Mailing address

3112 Windsor Rd
Suite A239
Austin, TX 78703-2350

Other practice location 1

4107 Spicewood Springs Rd Ste 100
Austin, TX 78759-8645
Phone (512) 397-3360

Other identifiers 1

IdentifierTypeStateIssuer
1665093-14MedicaidTX

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
I20040722000661 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0840270658 Reassigns benefits to 4 organizations
Practice locations: Austin, TX; Manor, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WH Services Austin LLCGroup PAC ID 5799157574, 3 clinicians

Practice addresses (Care Compare)

5656 Bee Cave Rd
West Lake Hills, TX 78746-5280
Phone (512) 314-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7412TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunil Reddy Cheruku, MD, PA CurrentSince Aug 1, 2018 Accepting new patients
WH Services Austin LLC CurrentSince Sep 5, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Ascension Seton Family Medicine Past Accepting new patients
Arise Healthcare System, LLC Past Accepting new patients
James McKinney, D.O., P.a. Past Accepting new patients
Anderson Emergency Physicians PA Emergency Medicine Past Accepting new patients
Hospice Austin Family Medicine PastSince Jan 17, 2022 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine Past Accepting new patients

Locations

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

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

3003 Bee Caves Rd
Austin, TX 78746
Phone (512) 314-3800

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

900 E 30th St
Ste 109
Austin, TX 78705
Phone (512) 404-8145

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1918 Leander Rd
Georgetown, TX 78628
Phone (512) 275-1810

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

5656 Bee Caves Rd
West Lake Hills, TX 78746
Phone (512) 314-3800

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1346224094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 WINDSOR RD",
            "address_2": "SUITE A239",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787032350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 WINDSOR RD",
            "address_2": "SUITE A239",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787032350",
            "telephone_number": "512-680-9880",
            "fax_number": "512-478-7608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4107 Spicewood Springs Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598645",
            "country_code": "US",
            "telephone_number": "512-397-3360",
            "fax_number": "512-343-7107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "KATHARINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L7412",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1665093-14",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.