Individual provider Active NPI

Paige L. Suffredini, MD

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1437116043
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H8391 Issued in TX
Practice address
2400 Cedar Bend Dr
Austin, TX 78758-5378
Phone
(512) 901-4016
Fax
(512) 901-3857
NPI assigned
Apr 27, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X H8391 TX Primary

Addresses

Primary practice location

2400 Cedar Bend Dr
Austin, TX 78758-5378

Mailing address

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4016

Other identifiers 1

IdentifierTypeStateIssuer
125221501MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAIGE.SUFFREDINI@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 11225-suffrendini-paige@direct.leadingreach.com
  • Direct secure messaging: paige.suffredini@hca8.eclinicaldirectplus.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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1437116043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4016",
            "fax_number": "512-901-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4016",
            "fax_number": "512-901-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFFREDINI",
        "first_name": "PAIGE",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H8391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125221501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAIGE.SUFFREDINI@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Cedar Bend Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787585378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.