Organization Active NPI

Adult Primary Care PLLC

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1497036123
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADULT PRIMARY CARE PLLC
Practice address
3267 Bee Caves Rd
Suite 107 #354
Austin, TX 78746-6700
Phone
(512) 660-6580
NPI assigned
Sep 8, 2011
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Shawn C Chen, M.D.NPI 1710952668
Title
Owner/Physician
Phone
(512) 660-6580

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3267 Bee Caves Rd
Suite 107 #354
Austin, TX 78746-6700

Mailing address

3267 Bee Caves Rd
Suite 107 #354
Austin, TX 78746-6700
Phone (512) 660-6580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120425000800 TX Part B Supplier - Clinic/Group Practice 5092977736 Receives reassigned benefits from 1 practitioner
Practice locations: Lakeway, TX; West Lake Hills, TX; Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1497036123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 BEE CAVES RD",
            "address_2": "SUITE 107 #354",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466700",
            "telephone_number": "512-660-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 BEE CAVES RD",
            "address_2": "SUITE 107 #354",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466700",
            "telephone_number": "512-660-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "512-660-6580",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 27, 2015; 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.