Individual provider Active NPI

Austin Cecil Walkes, M.D.

  • Family Medicine Physician
  • Beaumont, TX
National Provider Identifier
1497979819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F2984 Issued in TX
Practice address
1295 Pearl St
Beaumont, TX 77701-3642
Phone
(409) 835-8602
Fax
(409) 835-8658
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F2984 TX Primary

Addresses

Primary practice location

1295 Pearl St
Beaumont, TX 77701-3642

Mailing address

3807 Platt Ave
Port Arthur, TX 77640-2652
Phone (409) 983-2944

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
I20160607001234 TX Order and Referring Only - Family PracticePractitioner - Family Practice 0042500811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F2984TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Health Dept PastSince Feb 13, 2022 Accepting new patients
4500 Gulfway Medical Management PA Past Accepting new patients

Organizations & group practices 2

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497979819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 PLATT AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402652",
            "telephone_number": "409-983-2944",
            "fax_number": "409-835-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 PEARL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013642",
            "telephone_number": "409-835-8602",
            "fax_number": "409-835-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKES",
        "first_name": "AUSTIN",
        "middle_name": "CECIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.