Austin Urology Institute, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

M0272 Issued in TX

Legal business name

AUSTIN UROLOGY INSTITUTE, PA

Practice address

12319 N Mopac Expy, Building C, Ste 200
Austin, TX 78758-2497

Phone

(512) 694-8888

Fax

(512) 973-3036

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Kousik Shaw, M.D.

Title

Owner/President

Phone

(512) 694-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Montorello, MD

  • Urology Physician
  • Austin, TX
  • NPI 1730202714
  Medicare reassignment Care Compare group NPD
• Koushik K. Shaw, MD

  • Urology Physician
  • Austin, TX
  • NPI 1811954423
  Medicare reassignment Care Compare group NPD
• Barry Alexander Hughes

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1790392264
  Medicare reassignment NPD
• Natasha Damara Motongo, AGCNS-BC

  • Specialist
  • Austin, TX
  • NPI 1801377023
  Medicare reassignment NPD
• Samson Philip Triantis, PA

  • Physician Assistant
  • Austin, TX
  • NPI 1316628837
  Medicare reassignment NPD
• Lawrence Tsai, M.D.

  • Urology Physician
  • Austin, TX
  • NPI 1366853152
  Medicare reassignment
• Rebekah Kristine Longshore

  • Adult Health Nurse Practitioner
  • Austin, TX
  • NPI 1588894612
  NPD (past)
• Julianna Hope Monceaux, FNP-C

  • Nurse Practitioner
  • Austin, TX
  • NPI 1720627870
  NPD (past)
• George Leor Shashoua, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Austin, TX
  • NPI 1245379551
  NPD (past)

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1407157845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582497",
            "telephone_number": "512-694-8888",
            "fax_number": "512-973-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY, BUILDING C, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582497",
            "telephone_number": "512-694-8888",
            "fax_number": "512-973-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN UROLOGY INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KOUSIK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-694-8888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M0272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Travis County MHMR Center
• Austin Treatment Centers LLC
• Austin Urban Sanctuary, PLLC
• Austin Urogynecology, PLLC
• Austin Urological Associates P.a.
• Austin Vascular Institute PA
• Austin Vision Center
• Austin Vitality Counseling
• Austin Wellness Institute
• Austin Wellness, PLLC

• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.