Individual provider Active NPI

Sean McKinley Chamberlain, D.O.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1356721955
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7409 Issued in TX
Practice address
2710 Francisco St Unit 1
Austin, TX 78702-3921
Phone
(281) 633-1665
Fax
(512) 861-1868
NPI assigned
Jun 9, 2015
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7409 TX Primary

Addresses

Primary practice location

2710 Francisco St Unit 1
Austin, TX 78702-3921

Mailing address

2710 Francisco St Unit 1
Austin, TX 78702-3921
Phone (281) 633-1665

Other identifiers 2

IdentifierTypeStateIssuer
388872902MedicaidTX
388872901MedicaidTX

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
I20180925002624 TX Practitioner - Family Practice 5799094306 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

1036 N Circle Dr
Suite 102
Sealy, TX 77474-3336
Phone (979) 413-7155

200 W Ollie St
Llano, TX 78643-2628
Phone (325) 247-5040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Oct 28, 2022 Accepting new patients
Chamberlain Health, LLC Family Medicine CurrentSince Jan 22, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Sep 3, 2023 Accepting new patients
Capitol Wound Care PLLC Family Medicine CurrentSince Sep 21, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 29, 2022 Accepting new patients

Locations

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

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

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

1036 N Circle Dr
Ste 102
Sealy, TX 77474
Phone (346) 387-9340

Organizations & group practices 5

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 2

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1356721955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 FRANCISCO ST UNIT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023921",
            "telephone_number": "281-633-1665",
            "fax_number": "512-861-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 FRANCISCO ST UNIT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023921",
            "telephone_number": "281-633-1665",
            "fax_number": "512-861-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "SEAN",
        "middle_name": "MCKINLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2024-02-21",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388872902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388872901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.