Individual provider Active NPI

Gregory Richard Tempest, M.D.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1366478737
Registry record updated Dec 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M0491 Issued in TX
Practice address
1106 W Dittmar Rd
Austin, TX 78745-6328
Phone
(512) 462-6634
Fax
(512) 462-6795
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0941 TX
Neurology Physician 2084N0400X M0941 TX
Neurology Physician 2084N0400X M0491 TX Primary

Addresses

Primary practice location

1106 W Dittmar Rd
Austin, TX 78745-6328

Mailing address

2121 Lohmans Crossing Rd # 504-177
Lakeway, TX 78734-5217
Phone (512) 462-6634

Other identifiers 2

IdentifierTypeStateIssuer
206418001MedicaidTX
192637002MedicaidTX

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
I20060303000433 TX Practitioner - Neurology 5193731826

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0491TXMDNeurology Physician
M0941TXMDNeurology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671926400000",
    "number": "1366478737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LOHMANS CROSSING RD # 504-177",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345217",
            "telephone_number": "512-462-6634",
            "fax_number": "512-462-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W DITTMAR RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456328",
            "telephone_number": "512-462-6634",
            "fax_number": "512-462-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPEST",
        "first_name": "GREGORY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-12-25",
        "certification_date": "2022-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0941",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M0941",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M0491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206418001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192637002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.