Individual provider Active NPI

Erin Haraway, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Austin, TX
National Provider Identifier
1376501528
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
L9724 Issued in TX
Practice address
900 E 30TH St
Suite 109
Austin, TX 78705-3326
Phone
(512) 544-8145
Fax
(512) 544-8146
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X L9724 TX Primary

Addresses

Primary practice location

900 E 30TH St
Suite 109
Austin, TX 78705-3326

Mailing address

900 E 30TH St
Ste 109
Austin, TX 78705-3323
Phone (512) 368-4010

Other identifiers 1

IdentifierTypeStateIssuer
173353702MedicaidTX

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
I20050610000888 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0446294417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunil Reddy Cheruku, MD, PAGroup PAC ID 9830139195, 3 clinicians

Practice addresses (Care Compare)

900 E 30TH St
Suite 109
Austin, TX 78705-3323
Phone (512) 544-5555

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9724TXMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp CurrentSince Oct 1, 2019 Accepting new patients
Sunil Reddy Cheruku, MD, PA Undersea and Hyperbaric Medicine CurrentSince Dec 1, 2019 Accepting new patients
Robert Marriott Medical Corp CurrentSince Oct 1, 2019 Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

900 E 30th St
Ste 109
Austin, TX 78705
Phone (512) 404-8145

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

330 W Ben White Blvd
Austin, TX 78704
Phone (512) 705-7383

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

810 E 13th Ave
Belton, TX 76513
Phone (254) 939-1876

603 E Plantation Dr
Clute, TX 77531
Phone (979) 265-4221

1918 Leander Rd
Georgetown, TX 78628
Phone (512) 275-1810

10777 Westheimer Rd
Ste 1100
Houston, TX 77042
Phone (713) 260-9671

Interoperability endpoints

  • Direct secure messaging: lex9937@directaddress.net
  • FHIR API: https://api.platform.athenahealth.com/7531/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1376501528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST",
            "address_2": "STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053323",
            "telephone_number": "512-368-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST",
            "address_2": "SUITE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053326",
            "telephone_number": "512-544-8145",
            "fax_number": "512-544-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAWAY",
        "first_name": "ERIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "L9724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173353702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.