Active NPI
Erik Stuart Diebolt, D.O.
- Physical Medicine & Rehabilitation Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- R7708
- Practice address
- 12221 N Mopac Expy
Austin, TX 78758-2401 - Phone
- (512) 901-4011
- Fax
- (512) 901-3950
- NPI assigned
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 17618 | NH | |
| Physical Medicine & Rehabilitation Physician | 208100000X | R7708 | TX | Primary |
Addresses
Primary practice location
12221 N Mopac Expy
Austin, TX 78758-2401
Mailing address
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4011
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ERIK.DIEBOLT@hca8.eclinicaldirectplus.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1201 W Louis Henna Blvd
Austin, TX 78681-2301
Phone (512) 248-7000
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530
12221 N Mopac Expy
Department of Laboratory Services
Austin, TX 78758-2483
Phone (512) 901-1111
1330 Wonder World Dr
Suite 101
San Marcos, TX 78666-7567
Phone (512) 805-0680
3000 N Interstate 35
Suite 708
Austin, TX 78705-1860
Phone (512) 901-4011
Hospital & facility affiliations
- North Austin Medical Center
- Peterson Regional Medical Center
- Baylor Scott & White Institute for Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 64.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17618 | NH | MD | Physical Medicine & Rehabilitation Physician |
| R7708 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Diagnostic Clinic | Current | Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Current | Accepting new patients | |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
4315 James Casey St
Austin, TX 78745
Phone (512) 460-3404
1330 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 805-0680
Interoperability endpoints
- 11226-volpe-joe@direct.leadingreach.com
- erik.diebolt@hca8.eclinicaldirectplus.com
- 11226-diebolt-erik@direct.leadingreach.com
- ediebolt@concordo1403.srs-direct.com
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.
-
- Nephrology Physician
- Austin, TX
- NPI 1497729685
-
- Hospitalist Physician
- Austin, TX
- NPI 1972011658
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1386901072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-4011",
"fax_number": "512-901-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-4011",
"fax_number": "512-901-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEBOLT",
"first_name": "ERIK",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NH",
"license": "17618",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "R7708",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ERIK.DIEBOLT@hca8.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "12221 N Mopac Expy",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787582401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.