Individual provider Active NPI

Michael Kubecka

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1558830802
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP140496 Issued in TX
Practice address
8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862
Phone
(512) 493-9237
NPI assigned
Nov 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 750285 TX
Certified Registered Nurse Anesthetist 367500000X AP140496 TX Primary

Addresses

Primary practice location

8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862

Mailing address

534 Valarie LN
Midlothian, TX 76065-6192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307002679 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325387434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 341-5295

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
750285TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group PLLC CurrentSince Feb 10, 2019 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2019 Accepting new patients

Locations

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

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

12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753

1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000

12200 Renfert Way
Ste G-2
Austin, TX 78758
Phone (512) 901-8340

1111 W 34th St
Austin, TX 78705
Phone (512) 343-2466

8140 N Mopac Expy
Ste 3-210
Austin, TX 78759
Phone (512) 343-2292

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

4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005

8140 N Mopac Expy
Ste 3210
Austin, TX 78759
Phone (512) 343-2292

16030 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 246-8777

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

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1558830802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 VALARIE LN",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 N MOPAC EXPY STE 3-210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598862",
            "telephone_number": "512-493-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBECKA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "750285",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140496",
            "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 Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.