Individual provider Active NPI

Tejas Gopal, MD

  • Nephrology Physician
  • Austin, TX
National Provider Identifier
1497285316
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
S5629 Issued in TX
Practice address
3000 N Ih 35 Ste 635
Austin, TX 78705-1858
Phone
(512) 320-1500
Fax
(512) 459-1399
NPI assigned
Jun 13, 2017
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X S5629 TX Primary

Addresses

Primary practice location

3000 N Ih 35 Ste 635
Austin, TX 78705-1858

Mailing address

408 W 45TH St
Austin, TX 78751-3014
Phone (512) 320-1500

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
I20230802000140 TX Practitioner - NephrologyPractitioner - Internal Medicine 1456712850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

3000 N Ih
35 Suite 635
Austin, TX 78705-1804
Phone (512) 320-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5629TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates PA Nephrology CurrentSince Jul 4, 2023 Accepting new patients
Austin Kidney Associates, P. a. CurrentSince Jul 4, 2023 Accepting new patients
Austin Nephrology Associates, PA Nephrology Past Accepting new patients

Locations

3000 Ih 35 N
Ste 635
Austin, TX 78681

3000 N Interstate 35
Ste 635
Austin, TX 78705

408 W 45th St
Austin, TX 78751
Phone (512) 451-5800

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

1720 E Whitestone Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 451-5800

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

Interoperability endpoints

  • Direct secure messaging: tgopal39654@direct.davitaphysiciansolutions.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1497285316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N IH 35 STE 635",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051858",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "TEJAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S5629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.