Individual provider Active NPI

Cecilia Ann-Sofi Lyons Gaffaney, M.D.

  • Maternal & Fetal Medicine Physician
  • Austin, TX
National Provider Identifier
1457399925
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
N 9256 Issued in TX
Practice address
12201 Renfert Way
Suite 355
Austin, TX 78758-5354
Phone
(512) 821-2540
Fax
(512) 973-3533
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A62139 CA
Maternal & Fetal Medicine Physician 207VM0101X N 9256 TX Primary

Addresses

Primary practice location

12201 Renfert Way
Suite 355
Austin, TX 78758-5354

Mailing address

12201 Renfert Way
Suite 355
Austin, TX 78758-5354
Phone (512) 821-2540

Other identifiers 2

IdentifierTypeStateIssuer
00A621390MedicaidCA
8CW645OtherTXBCBS TX PROVIDER RECORD

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
I20111103000158 TX Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 6800866542 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N 9256TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Maternal & Fetal Medicine CurrentSince Mar 18, 2012 Accepting new patients
St. David's Specialized Women's Services, PLLC Maternal & Fetal Medicine CurrentSince Jul 25, 2011 Accepting new patients
Methodist Physician Practices, PLLC Maternal & Fetal Medicine Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

12201 Renfert Way
Ste 355
Austin, TX 78758
Phone (512) 977-0000

12200 Renfert Way
Ste G-3
Austin, TX 78758

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

5575 Warren Pkwy
Ste 307
Frisco, TX 75034

5575 Warren Pkwy
Ste 204
Frisco, TX 75034
Phone (214) 823-9630

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

5236 W University Dr
Ste 3600
McKinney, TX 75071
Phone (972) 426-9900

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

2821 George Bush Hwy
Ste 501
Richardson, TX 75082
Phone (214) 239-1053

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

6701 Heritage Pkwy
Ste 145
Rockwall, TX 75087
Phone (914) 471-7134

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1457399925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "SUITE 355",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-821-2540",
            "fax_number": "512-973-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "SUITE 355",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-821-2540",
            "fax_number": "512-973-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS GAFFANEY",
        "first_name": "CECILIA",
        "middle_name": "ANN-SOFI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A62139",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "N 9256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A621390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX PROVIDER RECORD",
            "identifier": "8CW645",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.