Individual provider Active NPI

Susan M Kent, M.D.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1548284045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J1089 Issued in TX
Practice address
1015 E 32ND St
Suite #405
Austin, TX 78705-2707
Phone
(512) 476-0895
Fax
(512) 476-0898
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

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
Pediatrics Physician 208000000X J1089 TX Primary

Addresses

Primary practice location

1015 E 32ND St
Suite #405
Austin, TX 78705-2707

Mailing address

1015 E 32ND St
Suite #405
Austin, TX 78705-2707
Phone (512) 476-0895

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
I20110714000372 TX Practitioner - Pediatric Medicine 9335317577 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince Apr 19, 2011 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics Past Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1015 E 32nd St
Ste 405
Austin, TX 78705
Phone (512) 476-0895

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548284045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "SUITE #405",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-476-0895",
            "fax_number": "512-476-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "SUITE #405",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-476-0895",
            "fax_number": "512-476-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J1089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.