Individual provider Active NPI

Kent T Ellington, M.D.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1487752986
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J3304 Issued in TX
Practice address
1600 W 38TH St
Suite 308
Austin, TX 78731-6400
Phone
(512) 324-3540
Fax
(512) 324-3541
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J3304 TX Primary

Addresses

Primary practice location

1600 W 38TH St
Suite 308
Austin, TX 78731-6400

Mailing address

1400 N Ih 35
Suite 300
Austin, TX 78701-1926
Phone (512) 324-8300

Other identifiers 2

IdentifierTypeStateIssuer
160104904MedicaidTX
102573604MedicaidTX

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
I20100517000851 TX Practitioner - Neurology 5092611129 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Baylor College of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Central Texas Community Health CentersGroup PAC ID 5395802151, shared by 33 NPIs, 165 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

1705 E 11TH St
Austin, TX 78702-2709
Phone (512) 978-9600

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3304TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School Current Accepting new patients
Seton Family of Doctors Neurology Current Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Jul 1, 2019 Accepting new patients
The University of Texas at Austin CurrentSince Jul 1, 2019 Accepting new patients
Seton Family of Doctors Neurology CurrentSince Nov 8, 2010 Accepting new patients
Seton Family of Doctors CurrentSince Nov 8, 2010 Accepting new patients
Hudson Werner Horn Karnik Douglas Hummer PA Neurology Current Accepting new patients
Special Care Dental of Georgia, LLC PastSince Jan 17, 2017 Accepting new patients

Locations

711 W 38th St
#F
Austin, TX 78705
Phone (512) 458-6121

1345 Philomena St
Ste 4102
Austin, TX 78723
Phone (737) 268-3649

1600 W 38th St
Ste 308
Austin, TX 78731

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: kent.ellington.1@16041.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1487752986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N IH 35",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011926",
            "telephone_number": "512-324-8300",
            "fax_number": "512-324-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "address_2": "SUITE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-324-3540",
            "fax_number": "512-324-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "KENT",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160104904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102573604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.