Individual provider Active NPI

Peris June Mwirigi, MD, MPH

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1508420761
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T4807 Issued in TX
Practice address
7112 Ed Bluestein Blvd Ste 100
Austin, TX 78723-2913
Phone
(512) 744-6000
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 T4807 TX Primary

Addresses

Primary practice location

7112 Ed Bluestein Blvd Ste 100
Austin, TX 78723-2913

Mailing address

7112 Ed Bluestein Blvd Ste 100
Austin, TX 78723-2913
Phone (512) 744-6000

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

State licenses

LicenseStateTypeSpecialty
T4807TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dixdowell & Associates Pediatrics PastSince Oct 1, 2004 Accepting new patients
Central Texas Community Health Centers 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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1508420761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232913",
            "telephone_number": "512-744-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232913",
            "telephone_number": "512-744-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWIRIGI",
        "first_name": "PERIS JUNE",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T4807",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 9, 2024; 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.