Individual provider Active NPI

Pushpam Baweja, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1366995938
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8995TG Issued in TX
Practice address
2901 S Capital of Texas Hwy
F7
Austin, TX 78746-8101
Phone
(512) 306-8949
Fax
(512) 306-8625
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8995TG TX Primary

Addresses

Primary practice location

2901 S Capital of Texas Hwy
F7
Austin, TX 78746-8101

Mailing address

2901 S Capital of Texas Hwy
F7
Austin, TX 78746-8101
Phone (512) 306-8949

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160909000643 TX Practitioner - Optometry 3971899469 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derek Hamilton, OD, P.a.Group PAC ID 7719039163, 2 clinicians

Practice addresses (Care Compare)

15550 Ranch Rd 620
Suite 100
Austin, TX 78717-5206
Phone (512) 251-4040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8995TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Eyecare PLLC Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Barton Creek Eyecare PLLC Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Galleria Eyecare PLLC Optometrist CurrentSince Feb 15, 2018 Accepting new patients
Derek Hamilton, OD, P.a. Optometrist CurrentSince Dec 1, 2019 Accepting new patients

Locations

15550 Ranch Road 620 N
#100
Austin, TX 78717
Phone (512) 251-4040

15550 Ranch Road 620 N
Austin, TX 78717

2901 S Capital of Texas Hwy
Ste F7
Austin, TX 78746
Phone (512) 306-8949

12921 Hill Country Blvd
Ste D2-115
Bee Cave, TX 78738
Phone (512) 263-1023

11200 Lakeline Mall Dr
Ste E5
Cedar Park, TX 78613
Phone (512) 335-3098

1500 Harvey Rd
Ste 7000
College Station, TX 77840
Phone (979) 693-7528

Organizations & group practices 4

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1366995938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S CAPITAL OF TEXAS HWY",
            "address_2": "F7",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787468101",
            "telephone_number": "512-306-8949",
            "fax_number": "512-306-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S CAPITAL OF TEXAS HWY",
            "address_2": "F7",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787468101",
            "telephone_number": "512-306-8949",
            "fax_number": "512-306-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWEJA",
        "first_name": "PUSHPAM",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8995TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.