Individual provider Active NPI

Suzanne Novak, MD, PHD

  • Pain Medicine (Anesthesiology) Physician
  • West Lake Hills, TX
National Provider Identifier
1508132754
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
F9886 Issued in TX
Practice address
1600 Flintridge Rd
West Lake Hills, TX 78746-4351
Phone
(512) 327-7940
Fax
(512) 327-7975
NPI assigned
Mar 31, 2012
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X F9886 TX Primary

Addresses

Primary practice location

1600 Flintridge Rd
West Lake Hills, TX 78746-4351

Mailing address

1600 Flintridge Rd
West Lake Hills, TX 78746-4351
Phone (512) 327-7940

Other identifiers 2

IdentifierTypeStateIssuer
500045773OtherTXTEXAS CONTROLLED SUBSTANCES REGISTRATION
F9886OtherTXMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
F9886TXMDPain Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508132754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FLINTRIDGE RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787464351",
            "telephone_number": "512-327-7940",
            "fax_number": "512-327-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FLINTRIDGE RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787464351",
            "telephone_number": "512-327-7940",
            "fax_number": "512-327-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "F9886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CONTROLLED SUBSTANCES REGISTRATION",
            "identifier": "500045773",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "F9886",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.