Active NPI
Lois A Bachus, MD
- Gynecology Physician
- Austin, TX
National Provider Identifier
1396819173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G7033
- Practice address
- 1221 W Ben White Blvd
Suite B-250
Austin, TX 78704-6888 - Phone
- (512) 462-1717
- Fax
- (512) 462-0822
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G7033 | TX | Primary |
Addresses
Primary practice location
1221 W Ben White Blvd
Suite B-250
Austin, TX 78704-6888
Mailing address
1221 W Ben White Blvd
Suite B-250
Austin, TX 78704-6888
Phone (512) 462-1717
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1229171-03 | Medicaid | TX | |
| 130305100 | Other | TX | FIRST CARE ID |
| 0832479-01 | Medicaid | TX | |
| 88M092 | Other | TX | BCBS--INDIVIDUAL |
| G7033 | Other | TX | TX LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Anesthesiologists of Houston, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Houston, TX
- NPI 1336310366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1396819173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 W BEN WHITE BLVD",
"address_2": "SUITE B-250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046888",
"telephone_number": "512-462-1717",
"fax_number": "512-462-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 W BEN WHITE BLVD",
"address_2": "SUITE B-250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046888",
"telephone_number": "512-462-1717",
"fax_number": "512-462-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHUS",
"first_name": "LOIS",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "G7033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1229171-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE ID",
"identifier": "130305100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0832479-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS--INDIVIDUAL",
"identifier": "88M092",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE",
"identifier": "G7033",
"state": "TX"
}
],
"endpoints": [],
"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 Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.