Active NPI
Virginia Y Yip
- Diagnostic Radiology Physician
- Austin, TX
National Provider Identifier
1366419368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M6966
- Practice address
- 12221 N Mo Pac Expy
Austin, TX 78758-2401 - Phone
- (512) 901-1300
- Fax
- (512) 901-4465
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | M6966 | TX | Primary |
Addresses
Primary practice location
12221 N Mo Pac Expy
Austin, TX 78758-2401
Mailing address
12221 N Mo Pac Expy
Austin, TX 78758-2401
Phone (512) 901-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189199601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6966 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Services of Texas LLC | Diagnostic Radiology | Past | Accepting new patients |
| Georgia Telerad LLC | Diagnostic Radiology | Past | Accepting new patients |
| Associated Radiologists of the Finger Lakes PC | Diagnostic Radiology | Past | Accepting new patients |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients | |
| Radiology Associates of Ithaca PC | Diagnostic Radiology | Past | Accepting new patients |
| Lone Star Radiology Services PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radcare of Texas PLLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
-
- Diagnostic Radiology Physician
- Burleson, TX
- NPI 1184745861
-
- Diagnostic Radiology Physician
- Brownsville, TX
- NPI 1215260559
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1164470845
-
- Diagnostic Ultrasound Physician
- Elmira, NY
- NPI 1063489060
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Dublin, GA
- NPI 1366675969
-
- Diagnostic Radiology Physician
- Ithaca, NY
- NPI 1467566190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1366419368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 N MO PAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-1300",
"fax_number": "512-901-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 N MO PAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-1300",
"fax_number": "512-901-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIP",
"first_name": "VIRGINIA",
"middle_name": "Y",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M6966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189199601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.