Individual provider Active NPI

Elizabeth C. N. Winful-Acquaye, M.D.

  • Pediatrics Physician
  • Liberty Hill, TX
National Provider Identifier
1497776991
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L9963 Issued in TX
Practice address
Austin Regional Clinic
12779 West SH 29
Liberty Hill, TX 78642-6332
Phone
(512) 778-7003
Fax
(512) 406-7317
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L9963 TX Primary

Addresses

Primary practice location

Austin Regional Clinic
12779 West SH 29
Liberty Hill, TX 78642-6332

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142
Phone (512) 483-9596

Other identifiers 1

IdentifierTypeStateIssuer
107763801MedicaidTX

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
I20041012001330 TX Practitioner - Pediatric MedicinePractitioner - Infectious Disease 6709846983 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA Pediatrics CurrentSince Jun 6, 2023 Accepting new patients
Austin Regional Clinic, PA CurrentSince Jun 6, 2023 Accepting new patients
Lone Star Circle of Care CurrentSince Aug 2, 2021 Accepting new patients
Lone Star Circle of Care Pediatrics Current Accepting new patients
Lone Star Circle of Care CurrentSince Aug 2, 2021 Accepting new patients
Josegauri PA PastSince Nov 28, 2010 Accepting new patients

Locations

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Austin, TX 78723

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

2300 Clear Creek Rd
Ste 105
Killeen, TX 76549
Phone (254) 554-3494

12779 W State Highway 29
Liberty Hill, TX 78642
Phone (512) 778-7003

12779 W State Highway 29
Unit 100
Liberty Hill, TX 78642

Interoperability endpoints

  • Direct secure messaging: elizabeth.winfulacquaye.p1@direct.lscctx.nextgenshare.com
  • Direct secure messaging: elizabeth.winful-acquaye.1@12704.direct.athenahealth.com
  • Direct secure messaging: ewinfulacquaye28297@arcmd.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1497776991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-483-9596",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AUSTIN REGIONAL CLINIC",
            "address_2": "12779 WEST SH 29",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426332",
            "telephone_number": "512-778-7003",
            "fax_number": "512-406-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFUL-ACQUAYE",
        "first_name": "ELIZABETH",
        "middle_name": "C. N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107763801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

Verify at the official NPI Registry.