Individual provider Active NPI

Mark Dariush Tabarrok, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Austin, TX
National Provider Identifier
1497950075
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
N1174 Issued in TX
Practice address
9835 N Lake Creek Pkwy
Austin, TX 78717-6210
Phone
(832) 824-1000
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP1-0023124 TX
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X N1174 TX Primary

Addresses

Primary practice location

9835 N Lake Creek Pkwy
Austin, TX 78717-6210

Mailing address

314 Lodestone LN
Austin, TX 78738-6162
Phone (512) 299-0603

Other identifiers 1

IdentifierTypeStateIssuer
3805159112OtherMYUTMB 3805159112-COMMERCIAL NUMBER

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
I20081023000544 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2365500196 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0023124TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Texas Children'S Physician Group Pediatrics CurrentSince Oct 23, 2023 Accepting new patients
Texas Children'S Hospital Past Accepting new patients
University of Texas Medical Branch, Austin Initiatives at Utmb Emergency Medicine Past Accepting new patients

Locations

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1102 Bates Ave
#1450
Houston, TX 77030

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

Organizations & group practices 5

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1497950075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LODESTONE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386162",
            "telephone_number": "512-299-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 N LAKE CREEK PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787176210",
            "telephone_number": "832-824-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARROK",
        "first_name": "MARK",
        "middle_name": "DARIUSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP1-0023124",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "N1174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3805159112-COMMERCIAL NUMBER",
            "identifier": "3805159112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.