Individual provider Active NPI

Ashanti Raquel Dunmeyer

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1437786845
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U3509 Issued in TX
Practice address
2608 Brockton Dr
Austin, TX 78758-4414
Phone
(512) 654-4050
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 U3509 TX Primary

Addresses

Primary practice location

2608 Brockton Dr
Austin, TX 78758-4414

Mailing address

PO Box 844658 Ms -M2 3.006
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

425 University Blvd
Ms-M2 3.006
Round Rock, TX 78665
Phone (512) 509-3404

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adunmeyer666971@direct.sw.org

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
I20230515002702 TX Practitioner - Family Practice 8527489384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U3509TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Family Medicine CurrentSince May 5, 2023 Accepting new patients
Scott & White Clinic Family Medicine Current Accepting new patients
Scott & White Clinic Family Medicine CurrentSince May 5, 2023 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

2608 Brockton Dr
Austin, TX 78758
Phone (512) 654-4050

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

425 University Blvd
Bldg 2
Round Rock, TX 78665
Phone (512) 509-3404

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

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.

Hospital & facility affiliations 4

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1437786845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658 MS -M2 3.006",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 BROCKTON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584414",
            "telephone_number": "512-654-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 University Blvd",
            "address_2": "MS-M2 3.006",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "78665",
            "country_code": "US",
            "telephone_number": "512-509-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNMEYER",
        "first_name": "ASHANTI",
        "middle_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adunmeyer666971@direct.sw.org",
            "affiliation": "N",
            "address_1": "2608 Brockton Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787584414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.