Active NPI
Victor Justo Li-Pelaez, MD
- Plastic Surgery Physician
- Austin, TX
National Provider Identifier
1487759221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- D8019
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2224370 | Other | BLUE LINK | |
| 0994089-01 | Medicaid | TX | |
| 3235465 | Other | MET 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.