Organization Active NPI

Scott R. Elkin, DO, PA

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1487663274
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G1644 Issued in TX
Legal business name
SCOTT R. ELKIN, DO, PA
Practice address
1510 W 34TH St Ste 205
Austin, TX 78703-1494
Phone
(512) 306-0061
Fax
(512) 306-0069
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Scott R. Elkin, DONPI 1265433080
Title
Ceo / President
Phone
(512) 306-0061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G1644 TX Primary

Addresses

Primary practice location

1510 W 34TH St Ste 205
Austin, TX 78703-1494

Mailing address

PO Box 4595
Austin, TX 78765-4595
Phone (512) 306-0061

Other identifiers 3

IdentifierTypeStateIssuer
0A3207OtherTXMEDICARE PTAN
1487663274OtherTXNPI
1487663274OtherTXBCBS NPI - GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090219000190 TX Part B Supplier - Clinic/Group Practice 2365507779 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

1510 W 34th St
Ste 205
Austin, TX 78703
Phone (512) 306-0061

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1487663274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4595",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787654595",
            "telephone_number": "512-306-0061",
            "fax_number": "512-306-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W 34TH ST STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031494",
            "telephone_number": "512-306-0061",
            "fax_number": "512-306-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R. ELKIN, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "ELKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "512-306-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0A3207",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487663274",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NPI - GROUP",
            "identifier": "1487663274",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.