Individual provider Active NPI

Donald Ralph Gladden, DO

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1356398168
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A1217-03 Issued in NM
Practice address
6300 La Calma Drive, Ste. 200
La Costa Center
Austin, TX 78752
Phone
(512) 452-8533
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A1217-03 NM Primary

Addresses

Primary practice location

6300 La Calma Drive, Ste. 200
La Costa Center
Austin, TX 78752

Mailing address

6300 La Calma Dr Ste 200
La Costa Centre
Austin, TX 78752-3825
Phone (512) 452-8533

Other identifiers 5

IdentifierTypeStateIssuer
178092605MedicaidTX
178092602MedicaidTX
178092604MedicaidTX
178092606MedicaidTX
178092607MedicaidTX

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
I20060330000655 TX Practitioner - Emergency Medicine 6002703477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A1217-03NMMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Lea Emergency Group LLC Emergency Medicine Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Eddy Emergency Group LLC Emergency Medicine Past Accepting new patients
Mesa Emergency Group LLC Emergency Medicine Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Patriot Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Trans Pecos Emergency Physicians Emergency Medicine Past Accepting new patients
Northbank Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

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

6300 La Calma Dr
Ste 200
Austin, TX 78752
Phone (512) 610-0321

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1751 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 528-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

Organizations & group practices 9

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1356398168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 LA CALMA DR STE 200",
            "address_2": "LA COSTA CENTRE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523825",
            "telephone_number": "512-452-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 LA CALMA DRIVE, STE. 200",
            "address_2": "LA COSTA CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752",
            "telephone_number": "512-452-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADDEN",
        "first_name": "DONALD",
        "middle_name": "RALPH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "A1217-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178092605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178092602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178092604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178092606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178092607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.