Individual provider Active NPI

Katherine Blake Perini, PA-C

  • Physician Assistant
  • Lakeway, TX
National Provider Identifier
1376419093
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19607 Issued in TX
Practice address
4 Lakeway Centre CT
Lakeway, TX 78734-2757
Phone
(855) 589-8123
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19607 TX Primary

Addresses

Primary practice location

4 Lakeway Centre CT
Lakeway, TX 78734-2757

Mailing address

4 Lakeway Centre CT
Lakeway, TX 78734-2757
Phone (855) 589-8123

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215003804 TX Practitioner - Physician Assistant 1456845650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

164 Belterra Village Way
Unit A2
Austin, TX 78737-4794
Phone (512) 596-0595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19607TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Allergy & Asthma, PLLC CurrentSince Oct 15, 2025 Accepting new patients
TMC Provider Group PLLC CurrentSince Feb 2, 2026 Accepting new patients
TMC Provider Group, PLLC CurrentSince Feb 2, 2026 Accepting new patients
Hill Country Allergy & Asthma, PLLC PastSince Jul 7, 2024 Accepting new patients
Capital Otolaryngology Head & Neck Surgeons, P.a. PastSince Oct 21, 2025 Accepting new patients

Locations

164 Belterra Village Way
Unit A2
Austin, TX 78737
Phone (512) 596-0595

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

800 W Highway 290
Ste 200A
Dripping Springs, TX 78620

800 W Highway 290
Ste 200
Dripping Springs, TX 78620
Phone (512) 368-4548

4 Lakeway Centre Ct
Ste A
Lakeway, TX 78734
Phone (512) 610-3110

4 Lakeway Centre Ct
Lakeway, TX 78734
Phone (512) 610-3110

800 Crystal Falls Pkwy
Unit 3
Leander, TX 78641
Phone (512) 610-3110

801 Steve Hawkins Pkwy
Ste 100
Marble Falls, TX 78654
Phone (512) 339-4040

801 Steve Hawkins Pkwy
Ste 200
Marble Falls, TX 78654
Phone (512) 610-3110

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Organizations & group practices 6

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1376419093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAKEWAY CENTRE CT",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342757",
            "telephone_number": "855-589-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAKEWAY CENTRE CT",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342757",
            "telephone_number": "855-589-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERINI",
        "first_name": "KATHERINE",
        "middle_name": "BLAKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.