Individual provider Active NPI

Allen Lee Mauldin, MD

  • Family Medicine Physician
  • Leander, TX
National Provider Identifier
1437167095
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3592 Issued in TX
Practice address
601 Crystal Falls Pkwy Ste 100
Leander, TX 78641-3613
Phone
(512) 259-5111
Fax
(512) 259-5255
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G3592 TX Primary

Addresses

Primary practice location

601 Crystal Falls Pkwy Ste 100
Leander, TX 78641-3613

Mailing address

601 Crystal Falls Pkwy Ste 100
Leander, TX 78641-3613
Phone (512) 259-5111

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
I20070326000291 TX Practitioner - Family Practice 5890899165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

601 Crystal Falls Pkwy
Suite 100
Leander, TX 78641-3613
Phone (512) 259-5111

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G3592TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Wellmed Medical Group, PA Family Medicine Current Accepting new patients
Rapidcare Clinic PA Family Medicine Past Accepting new patients

Locations

2701 S Highway 183
Ste B
Leander, TX 78641
Phone (512) 259-5111

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: allen.mauldin@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1437167095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CRYSTAL FALLS PKWY STE 100",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413613",
            "telephone_number": "512-259-5111",
            "fax_number": "512-259-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CRYSTAL FALLS PKWY STE 100",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413613",
            "telephone_number": "512-259-5111",
            "fax_number": "512-259-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "ALLEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

Verify at the official NPI Registry.