NPIMap

Organization Active NPI

Pediatric Care of Austin, PA

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1497959373
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F3737 Issued in TX
Legal business name
PEDIATRIC CARE OF AUSTIN, PA
Practice address
1015 E 32ND St
Suite 203
Austin, TX 78705-2707
Phone
(512) 733-5437
Fax
(512) 476-0960
NPI assigned
Jun 13, 2007
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Rodolfo Cantu Barrera, D.O.NPI 1588763130
Title
President
Phone
(512) 476-5437

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
Pediatrics Physician 208000000X F3737 TX Primary

Addresses

Primary practice location

1015 E 32ND St
Suite 203
Austin, TX 78705-2707

Mailing address

1015 E 32ND St
Suite 203
Austin, TX 78705-2707
Phone (512) 733-5437

Other identifiers 2

IdentifierTypeStateIssuer
091851802MedicaidTX
091851801MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Care of Austin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1015 E 32nd St
Ste 203
Austin, TX 78705
Phone (512) 476-5437

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1497959373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "SUITE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-733-5437",
            "fax_number": "512-476-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "SUITE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-733-5437",
            "fax_number": "512-476-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE OF AUSTIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "CANTU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-476-5437",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F3737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091851802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091851801",
            "state": "TX"
        }
    ],
    "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 Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.