Individual provider Active NPI

Roxanne Ira Bautista, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1427586445
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S6794 Issued in TX
Practice address
919 E 32ND St
Austin, TX 78705-2703
Phone
(512) 476-7111
NPI assigned
Jun 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10061507 TX
Internal Medicine Physician 207R00000X S6794 TX Primary

Addresses

Primary practice location

919 E 32ND St
Austin, TX 78705-2703

Mailing address

7000 N Mo Pac Expy Ste 420
Austin, TX 78731-3055
Phone (512) 482-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200707001313 TX Practitioner - Internal Medicine 0840564373 Reassigns benefits to 2 organizations
I20210820002688 WA Practitioner - Internal Medicine 0840564373 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Jul 16, 2021 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Jul 16, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 2, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jul 16, 2021 Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1427586445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N MO PAC EXPY STE 420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313055",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E 32ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052703",
            "telephone_number": "512-476-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ROXANNE",
        "middle_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10061507",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S6794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.