NPIMap

Individual provider Active NPI

Richard Todd, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1427274455
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00056 Issued in TX
Practice address
101 W Koenig LN
Suite 100
Austin, TX 78751-1213
Phone
(512) 454-9426
Fax
(512) 454-7294
NPI assigned
Apr 18, 2007
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00056 TX Primary

Addresses

Primary practice location

101 W Koenig LN
Suite 100
Austin, TX 78751-1213

Mailing address

101 W Koenig LN
Suite 100
Austin, TX 78751-1213
Phone (512) 454-9426

Other identifiers 1

IdentifierTypeStateIssuer
88N511OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000501 TX Practitioner - Physician Assistant 2567658339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camrock Medical Clinic, PLLCGroup PAC ID 3274959325, 7 clinicians

Practice addresses (Care Compare)

201 N Fannin Ave
Cameron, TX 76520-3363
Phone (512) 446-2277

602 N Main St
Suite D
Rockdale, TX 76567-2323

602 N Main St
Unit D
Rockdale, TX 76567-2393
Phone (512) 446-2277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
73.08
Promoting interoperability
92
Improvement activities
40
Cost
80.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00056TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Whitmire NP PLLC Past Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard.todd.3@23609.direct.athenahealth.com

Organizations & group practices 3

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 8

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1427274455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KOENIG LN",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511213",
            "telephone_number": "512-454-9426",
            "fax_number": "512-454-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KOENIG LN",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511213",
            "telephone_number": "512-454-9426",
            "fax_number": "512-454-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "88N511",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.