Individual provider Active NPI

Deirdre M Rhoad, M.D.

  • Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1427153568
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
H4642 Issued in TX
Practice address
11671 Jollyville Rd Ste 103
Austin, TX 78759-4141
Phone
(512) 476-9149
Fax
(512) 476-8654
NPI assigned
Sep 13, 2006
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X H4642 TX Primary

Addresses

Primary practice location

11671 Jollyville Rd Ste 103
Austin, TX 78759-4141

Mailing address

11671 Jollyville Rd Ste 103
Austin, TX 78759-4141
Phone (512) 476-9149

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
I20110826000260 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 6002086444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Texas Medical Branch at Galveston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11671 Jollyville Rd
Suite 103
Austin, TX 78759-4141
Phone (512) 476-9149

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4642TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deirdre M Rhoad M D P a CurrentSince Aug 15, 2011 Accepting new patients

Locations

11111 Research Blvd
Ste 310
Austin, TX 78759
Phone (512) 476-9149

11671 Jollyville Rd
Ste 103
Austin, TX 78759
Phone (512) 476-9149

Interoperability endpoints

  • Direct secure messaging: austinplasticsurgery.deirdrerhoad@111709.advancedmd-direct.com

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1427153568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11671 JOLLYVILLE RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594141",
            "telephone_number": "512-476-9149",
            "fax_number": "512-476-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 JOLLYVILLE RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594141",
            "telephone_number": "512-476-9149",
            "fax_number": "512-476-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOAD",
        "first_name": "DEIRDRE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "H4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.