Sharon Satsuki Itaya, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F7789 Issued in TX

Practice address

2529 S 1St St
South Austin Community Health Center
Austin, TX 78704-5466

Phone

(572) 972-4722

Fax

(572) 972-4708

NPI assigned

May 20, 2006

Last updated

Jul 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Austin

  dba City of Austin Office of Chief Medical Officer

  • Emergency Medical Services (Emergency Medicine) Physician
  • Austin, TX
  • NPI 1083245070
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1386698850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WALLER ST",
            "address_2": "ATTN: FINANCE, 5TH FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025240",
            "telephone_number": "572-978-9000",
            "fax_number": "572-978-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 S 1ST ST",
            "address_2": "SOUTH AUSTIN COMMUNITY HEALTH CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045466",
            "telephone_number": "572-972-4722",
            "fax_number": "572-972-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITAYA",
        "first_name": "SHARON",
        "middle_name": "SATSUKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F7789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP",
            "identifier": "513708YLPS",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132467502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haneen Issa
• Michael Isseks, D.C.
• Susanna Issoglio
• Michael Shayne Istre, DDS
• It's More Than Milk Lactation Services, LLC (It's More Than Milk)
• Andrew S Itkin, MD
• Annika Ittiruck, DDS
• Andrea Ivey, OTR/L
• Leslie Deforest Ivey, RD, LD
• Ivitamin Services

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.