Active NPI
Pediatric Urology of Central Texas
- Pediatric Urology Physician
- Austin, TX
National Provider Identifier
1508932112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- Legal business name
- PEDIATRIC UROLOGY OF CENTRAL TEXAS
- Practice address
- 1301 Barbara Jordan Blvd
Suite 302
Austin, TX 78723-3077 - Phone
- (512) 472-6134
- Fax
- (512) 472-1528
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George M Seremetis, MD
- Title
- Owner
- Phone
- (512) 472-6134
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | Primary |
Addresses
Primary practice location
1301 Barbara Jordan Blvd
Suite 302
Austin, TX 78723-3077
Mailing address
1301 Barbara Jordan Blvd
Suite 301
Austin, TX 78723-3077
Phone (512) 472-6134
Other names 1
- Childrens Urology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040106000417 | TX | Part B Supplier - Clinic/Group Practice | 4587563887 |
Receives reassigned benefits from 9 practitioners Practice locations: Austin, TX; Cedar Park, TX |
National Provider Directory
National Provider DirectoryLocations
1410 Ih 35 N
Ste 120
Austin, TX 78701
Phone (512) 472-6134
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Urology Physician
- Austin, TX
- NPI 1942202114
Pediatric Urology, TX
-
- Pediatric Urology Physician
- Austin, TX
- NPI 1548262728
Pediatric Urology, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428451200000",
"number": "1508932112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-472-6134",
"fax_number": "512-472-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 302",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-472-6134",
"fax_number": "512-472-1528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC UROLOGY OF CENTRAL TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2015-04-08",
"status": "A",
"authorized_official_last_name": "SEREMETIS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-472-6134",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Childrens Urology",
"code": "5",
"type": "Other Name"
}
]
}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 Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.