Individual provider Active NPI

Jack Daulton Bissett, M.D.

  • Infectious Disease Physician
  • Austin, TX
National Provider Identifier
1407874027
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
F9210 Issued in TX
Practice address
1301 W 38TH St
Suite 403
Austin, TX 78705-1000
Phone
(512) 459-9710
Fax
(512) 459-9701
NPI assigned
Jul 18, 2006
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X F9210 TX Primary

Addresses

Primary practice location

1301 W 38TH St
Suite 403
Austin, TX 78705-1000

Mailing address

1301 W 38TH St
Suite 403
Austin, TX 78705-1000
Phone (512) 459-9710

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
I20101217000672 TX Practitioner - Infectious Disease 4880690619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Texas Medical Branch at Galveston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Infectious Disease Consultants, PA 080191Group PAC ID 9436155264, 11 clinicians

Practice addresses (Care Compare)

1301 W 38TH St
Suite 403
Austin, TX 78705-1013
Phone (512) 459-0301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.42 of 100Reported as group
Quality
48
Improvement activities
20
Cost
87.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9210TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prolixant Therapeutics LLC Infectious Disease CurrentSince Apr 1, 2019 Accepting new patients
Austin Infectious Disease Consultants, PA 080191 Infectious Disease CurrentSince Jun 1, 1990 Accepting new patients

Locations

1301 W 38th St
Ste 403
Austin, TX 78705
Phone (512) 459-0301

6205B Burnet Rd
Austin, TX 78757
Phone (512) 772-1225

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1407874027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST",
            "address_2": "SUITE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051000",
            "telephone_number": "512-459-9710",
            "fax_number": "512-459-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST",
            "address_2": "SUITE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051000",
            "telephone_number": "512-459-9710",
            "fax_number": "512-459-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSETT",
        "first_name": "JACK",
        "middle_name": "DAULTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "F9210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.