Individual provider Active NPI

Anas Daghestani, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1366458630
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1616 Issued in TX
Practice address
6835 Austin Center Blvd
Austin, TX 78731-3189
Phone
(512) 388-8470
Fax
(512) 445-6532
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1616 TX Primary

Addresses

Primary practice location

6835 Austin Center Blvd
Austin, TX 78731-3189

Mailing address

6210 E Highway 290 Ste 240
Austin, TX 78723-1144
Phone (512) 407-8686

Other identifiers 3

IdentifierTypeStateIssuer
174473202MedicaidTX
174473201MedicaidTX
174473203MedicaidTX

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
I20050804001011 TX Practitioner - Internal Medicine 7810926318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

151 Exchange Blvd
500 Arc Hutto
Hutto, TX 78634-5381
Phone (512) 846-1244

1807 W Slaughter LN
490 Arc Southwest
Austin, TX 78748-6208
Phone (512) 282-8967

2100 Autumn Slate Dr
Suite 150
Pflugerville, TX 78660-6034
Phone (737) 220-7200

3816 S 1St St
Austin, TX 78704-7048
Phone (512) 443-1311

3828 S 1St St
Arc South 1St
Austin, TX 78704-7048
Phone (512) 443-1311

6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611

901 Crystal Falls Pkwy
Suite 103
Leander, TX 78641-1931
Phone (512) 259-2198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1616TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA Internal Medicine CurrentSince Aug 1, 2005 Accepting new patients
Austin Regional Clinic, PA CurrentSince Aug 1, 2005 Accepting new patients
Seton Hospitalist Service Internal Medicine Past Accepting new patients

Locations

4515 Seton Center Pkwy
Ste 215
Austin, TX 78759
Phone (512) 338-3802

6210 E Highway 290
Ste 240
Austin, TX 78723

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

3828 S 1st St
Austin, TX 78704
Phone (512) 443-1311

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: adaghestani746@arcmd.direct-ci.com

Organizations & group practices 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1366458630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HIGHWAY 290 STE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231144",
            "telephone_number": "512-407-8686",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 AUSTIN CENTER BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313189",
            "telephone_number": "512-388-8470",
            "fax_number": "512-445-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGHESTANI",
        "first_name": "ANAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174473202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174473201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174473203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.