Individual provider Active NPI

Steven Harry Fehrenkamp, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Austin, TX
National Provider Identifier
1376582718
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
E8463 Issued in TX
Practice address
1221 W Ben White Blvd Ste 208a
Austin, TX 78704-7181
Phone
(512) 445-2833
Fax
(512) 445-4121
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E8463 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X E8463 TX Primary

Addresses

Primary practice location

1221 W Ben White Blvd Ste 208a
Austin, TX 78704-7181

Mailing address

1221 W Ben White Blvd Ste 208a
Austin, TX 78704-7181
Phone (512) 445-2833

Other practice location 1

4310 James Casey St
Ste. 1A
Austin, TX 78745-1251
Phone (512) 445-2833

Other identifiers 1

IdentifierTypeStateIssuer
0063MHOtherTXBLUE CROSS BLUE SHIELD

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
I20050426001260 TX Practitioner - Endocrinology 2062451347

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: steven.fehrenkamp.1@12704.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376582718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 208A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047181",
            "telephone_number": "512-445-2833",
            "fax_number": "512-445-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 208A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047181",
            "telephone_number": "512-445-2833",
            "fax_number": "512-445-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4310 James Casey St",
            "address_2": "Ste. 1A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787451251",
            "country_code": "US",
            "telephone_number": "512-445-2833",
            "fax_number": "512-445-4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEHRENKAMP",
        "first_name": "STEVEN",
        "middle_name": "HARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E8463",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "E8463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0063MH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.