Austin Critical Care Specialists PA

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

AUSTIN CRITICAL CARE SPECIALISTS PA

Practice address

201 Seton Parkway
Round Rock, TX 78665

Phone

(512) 324-4112

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sam S. Roberts III, MD

Title

President

Phone

(512) 452-8533

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Austin Critical Care Specialists PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1447435805

  O20080328000560

  Same enrollment

Locations

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deidre Denise Allison, MSN RN ACNP-BC

  • Acute Care Nurse Practitioner
  • Austin, TX
  • NPI 1801234869
  NPD
• Prasanthi Kumari Arety, M.D

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1528333713
  NPD
• Harsh Babbar, MD

  • Pulmonary Disease Physician
  • Cedar Park, TX
  • NPI 1114105418

  Critical Care Medicine

  NPD
• John P Bedolla, M.D.

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1750345351
  NPD
• David B Blomstrom Jr., M.D.

  • Family Medicine Physician
  • Austin, TX
  • NPI 1497929236
  NPD
• Paul-Moreau Bossous, M.D.

  • Nephrology Physician
  • Mission, TX
  • NPI 1487975439
  NPD
• Mark Colin Clark, M.D.

  • Specialist
  • Austin, TX
  • NPI 1376568691
  NPD
• Wilfredo Cordero, N.P.

  • Acute Care Nurse Practitioner
  • Kyle, TX
  • NPI 1427487115
  NPD
• Bodie James Correll, M.D.

  • Family Medicine Physician
  • Temple, TX
  • NPI 1518125731
  NPD
• Andrew John Coyne, M.D.

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1386088045
  NPD
• John David Dallas, MD

  • Pulmonary Disease Physician
  • Austin, TX
  • NPI 1972687127
  NPD
• T Hayden L Dietz, DO

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1932315983
  NPD

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1548445596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051205",
            "telephone_number": "512-452-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SETON PARKWAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-324-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN CRITICAL CARE SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-452-8533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192205601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Victor Augustus
• Austin and Round Rock Travel and Infectious Diseases LLC
• Austin Anxiety and Behavioral Health Services
• Austin Area Womens Center, PLLC
• Austin Children'S Chest Associates II
• Austin ENT Associates
• Austin Five Star ER, P.a.
• Austin Neurosurgical and Spine Institute, PA
• Austin Regional Clinic, PA
• Austin Regional Clinic, PA

• All providers in Round Rock, TX
• Critical Care Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.

Verify at the official NPI Registry.