Ivan Robert Nepustil, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M6797 Issued in TX

Practice address

130 Hays St Ste D
Luling, TX 78648-3207

Phone

(830) 875-3445

NPI assigned

Jul 25, 2006

Last updated

Jun 13, 2015By the provider in NPPES

Sex

Male

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 1

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

Specialty

Internal Medicine

Education

University of Toledo College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension SetonGroup PAC ID 5193634293, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, San Antonio, TX, CCN 679044
• Ascension Seton Smithville Hospital, Smithville, TX, CCN 671304
• Ascension Seton Hays Hospital, Kyle, TX, CCN 670056

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivan.nepustil.2@8363.direct.athenahealth.com

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.

• Ascension Seton

  dba SEBD Professional Support Services

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Internal Medicine

  Medicare reassignment NPD
• Ascension Seton

  dba Ascension Seton Smithville

  • Medicare Defined Swing Bed Hospital Unit
  • Smithville, TX
  • NPI 1598590101
  NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Kyle, TX
  • NPI 1730412388

  Internal Medicine

  NPD
• Ascension Seton

  dba Ascension Seton Lockhart Health Center

  • Rural Health Clinic/Center
  • Lockhart, TX
  • NPI 1235234576
  NPD (past)
• City of Austin

  dba City of Austin Office of Chief Medical Officer

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

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

• Ascension Seton

  dba Ascension Seton Hays

  • General Acute Care Hospital
  • Kyle, TX
  • NPI 1619115383
  Care Compare affiliation
• Ascension Seton

  dba Ascension Seton Smithville

  • Critical Access Hospital
  • Smithville, TX
  • NPI 1619726064
  Care Compare affiliation
• Hallmark Homecare, L.P.

  dba Enhabit Home Health

  • Home Health Agency
  • San Antonio, TX
  • NPI 1902886278
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434153600000",
    "number": "1407879463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HAYS ST STE D",
            "city": "LULING",
            "state": "TX",
            "postal_code": "786483207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HAYS ST STE D",
            "city": "LULING",
            "state": "TX",
            "postal_code": "786483207",
            "telephone_number": "830-875-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPUSTIL",
        "first_name": "IVAN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1921874",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Devere (Dismukes Pharmacy)
• Martin E Weiner, M.D. P.a.
• Kathleen J McGinnis, LCSW
• Beth Marie Mitts, OTA/L
• Katrina A Navarro, DPT
• Walter Lee Nickells, D.C.
• Kalyana Chakravarthi Ponangi, DMD
• Post Acute Medical at Luling LLC (PAM Specialty Hospital of Luling)
• Post Acute Medical at Luling LLC (Warm Springs Specialty Hospital at Luling)
• Post Acute Medical at Luling, LLC (Warm Springs Specialty Hospital of Luling)

• Internal Medicine Physician in Luling, TX
• Providers in Luling, 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 Jun 13, 2015; 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.

Verify at the official NPI Registry.