Individual provider Active NPI

Victor Justo Li-Pelaez, MD

  • Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1487759221
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D8019 Issued in TX
Practice address
711 W 38TH Street
Suite E3
Austin, TX 78705-1132
Phone
(512) 454-0423
Fax
(512) 454-6436
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D8019 TX Primary

Addresses

Primary practice location

711 W 38TH Street
Suite E3
Austin, TX 78705-1132

Mailing address

711 W 38TH Street
Suite E3
Austin, TX 78705-1132
Phone (512) 454-0423

Other identifiers 3

IdentifierTypeStateIssuer
2224370OtherBLUE LINK
0994089-01MedicaidTX
3235465OtherMET LINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1487759221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH STREET",
            "address_2": "SUITE E3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051132",
            "telephone_number": "512-454-0423",
            "fax_number": "512-454-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH STREET",
            "address_2": "SUITE E3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051132",
            "telephone_number": "512-454-0423",
            "fax_number": "512-454-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI-PELAEZ",
        "first_name": "VICTOR",
        "middle_name": "JUSTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "D8019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "2224370",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0994089-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MET LINK",
            "identifier": "3235465",
            "state": null
        }
    ],
    "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 Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.