Ethan Meltzer, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R5901 Issued in TX

Practice address

1601 Trinity St
Austin, TX 78712

Phone

(833) 882-2737

Fax

(888) 698-8329

NPI assigned

Jun 4, 2014

Last updated

May 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Neurology

Education

University of Texas Southwestern Medical School at Dallas, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians

University of Texas at Austin Dell Medical SchoolGroup PAC ID 7113401340, 144 clinicians

Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124
• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethan.meltzer.1@16041.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Texas Community Health Centers

  dba CommUnityCare

  • Family Medicine Physician
  • Austin, TX
  • NPI 1427882091

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin

  • General Practice Physician
  • Austin, TX
  • NPI 1073066239
  Medicare reassignment Care Compare group NPD
• Central Texas Community Health Centers

  dba CommUnityCare

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1598591414
  NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1780218305
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  dba Dell Seton Medical Center at the University of Texas

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1093810327
  Care Compare affiliation
• Ascension Seton

  dba Ascension Seton Medical Center Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1467865790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST STOP Z0200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121850",
            "telephone_number": "833-882-2737",
            "fax_number": "888-698-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "833-882-2737",
            "fax_number": "888-698-8329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Trinity St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78712",
            "country_code": "US",
            "telephone_number": "833-882-2737",
            "fax_number": "888-698-8329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "ETHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R5901",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R5901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Melrose, MD
• Jennifer Vane Melrose, PH.D.
• Johnathon Melton
• Lues J. Melton, RN
• Tiffany Carise Melton, COSMETOLOGIST/PHT
• Alma Mena
• Brianna Mena, MD
• Jade Ann Mena, LCDC
• Antonio Jose Menchaca, D.M.D
• Morgan Alexanna Menchaca

• Neurology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.