Active NPI
Laura K. Prewitt-Buchanan, M.D.
- Physical Medicine & Rehabilitation Physician
- Dripping Springs, TX
National Provider Identifier
1366445579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- H9254
- Practice address
- 607 Blue Hills Dr
Dripping Springs, TX 78620-3908 - Phone
- (512) 496-8605
- Fax
- (512) 892-5071
- NPI assigned
- May 23, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | H9254 | TX | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | H9254 | TX |
Addresses
Primary practice location
607 Blue Hills Dr
Dripping Springs, TX 78620-3908
Mailing address
607 Blue Hills Dr
Dripping Springs, TX 78620-3908
Phone (512) 496-8605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116998904 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100812000153 | TX | Practitioner - Physical Medicine and Rehabilitation | 4486788551 | Practice locations: Dripping Springs, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Consultants, PA | Past | Accepting new patients |
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.
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1053526343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1366445579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 BLUE HILLS DR",
"city": "DRIPPING SPRINGS",
"state": "TX",
"postal_code": "786203908",
"telephone_number": "512-496-8605",
"fax_number": "512-892-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 BLUE HILLS DR",
"city": "DRIPPING SPRINGS",
"state": "TX",
"postal_code": "786203908",
"telephone_number": "512-496-8605",
"fax_number": "512-892-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREWITT-BUCHANAN",
"first_name": "LAURA",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "H9254",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "H9254",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116998904",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dripping Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.