Individual provider Active NPI

Conner Alexander Patrick, MD

  • Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1417586710
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
W6345 Issued in TX
Practice address
4611 Guadalupe St Ste 200
Austin, TX 78751-2928
Phone
(512) 476-2830
Fax
(512) 476-2832
NPI assigned
Apr 7, 2020
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X W6345 TX Primary

Addresses

Primary practice location

4611 Guadalupe St Ste 200
Austin, TX 78751-2928

Mailing address

4611 Guadalupe St Ste 200
Austin, TX 78751-2928
Phone (512) 476-2830

Other practice location 1

800 Crystal Falls Pkwy Unit 10
Leander, TX 78641-3666
Phone (512) 476-2830

Other practice location 2

5329 Serene Hills Dr Ste 202
Austin, TX 78738-1259
Phone (512) 476-2830

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
I20260615004117 TX Practitioner - Orthopedic Surgery 9234601840

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4611 Guadalupe St
Suite 200
Austin, TX 78751-2928

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W6345TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heinrich-Josey Orthopaedics Orthopaedic Surgery PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1417586710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 GUADALUPE ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512928",
            "telephone_number": "512-476-2830",
            "fax_number": "512-476-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 GUADALUPE ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512928",
            "telephone_number": "512-476-2830",
            "fax_number": "512-476-2832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Crystal Falls Pkwy Unit 10",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786413666",
            "country_code": "US",
            "telephone_number": "512-476-2830",
            "fax_number": "512-476-2832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5329 Serene Hills Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787381259",
            "country_code": "US",
            "telephone_number": "512-476-2830",
            "fax_number": "512-476-2832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "CONNER",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "W6345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.