Individual provider Active NPI

Denise L Pautler, M.D.

  • Pediatrics Physician
  • Round Rock, TX
National Provider Identifier
1447489547
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N2238 Issued in TX
Practice address
3950 N a W Grimes Blvd Ste N201
Round Rock, TX 78665-3540
Phone
(512) 524-9282
Fax
(512) 218-0515
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 N2238 TX Primary

Addresses

Primary practice location

3950 N a W Grimes Blvd Ste N201
Round Rock, TX 78665-3540

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address denise.pautler.p1@direct.lscctx.nextgenshare.com

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
I20100611000142 TX Practitioner - Pediatric Medicine 2961532379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2238TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care Pediatrics CurrentSince Mar 15, 2010 Accepting new patients
Lone Star Circle of Care CurrentSince Mar 15, 2010 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 103
Georgetown, TX 78628

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

3950 N A W Grimes Blvd
Ste N201
Round Rock, TX 78665
Phone (512) 524-9282

Interoperability endpoints

  • Direct secure messaging: denise.pautler.1@29821.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1447489547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N A W GRIMES BLVD STE N201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653540",
            "telephone_number": "512-524-9282",
            "fax_number": "512-218-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUTLER",
        "first_name": "DENISE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denise.pautler.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3950 N A W Grimes Blvd Ste N201",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786653540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.