Individual provider Active NPI

Andrea Michelle Diebel

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Austin, TX
National Provider Identifier
1467742676
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
Q0038 Issued in TX
Practice address
8611 N Mopac Expy Ste 200
Austin, TX 78759-8319
Phone
(737) 220-8200
NPI assigned
Apr 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q0038 TX
Pediatrics Physician 208000000X Q0038 TX
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X Q0038 TX Primary

Addresses

Primary practice location

8611 N Mopac Expy Ste 200
Austin, TX 78759-8319

Mailing address

8611 N Mopac Expy Ste 200
Austin, TX 78759-8319

Other names 1

  • Andrea Michelle Diebel Other name

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
I20170725003624 TX Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 0648540591 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0038TXMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group Pediatrics CurrentSince Sep 25, 2023 Accepting new patients
Texas Children'S Hospital Past Accepting new patients

Locations

8611 N Mopac Expy
Ste 200
Austin, TX 78759
Phone (737) 220-8200

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

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": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1467742676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 N MOPAC EXPY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 N MOPAC EXPY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598319",
            "telephone_number": "737-220-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBEL",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q0038",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q0038",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "Q0038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DIEBEL",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.