Individual provider Active NPI

Rachel Tai, D.O.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1578966396
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S8394 Issued in TX
Practice address
10815 Ranch Road 2222
Austin, TX 78730-1159
Phone
(512) 327-4262
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.012506 OH
Family Medicine Physician 207Q00000X S8394 TX Primary

Addresses

Primary practice location

10815 Ranch Road 2222
Austin, TX 78730-1159

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8651

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtai1169124@direct.sw.org

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
I20250521003026 TX Order and Referring Only - Family PracticePractitioner - Family Practice 4880912872

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, shared by 33 NPIs, 165 clinicians

Practice addresses (Care Compare)

2529 S 1St St
Austin, TX 78704-5466
Phone (512) 978-9865

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers Past Accepting new patients
Scott & White Hospital - Taylor PastSince Feb 24, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rtai1169124@direct.sw.org

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": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1578966396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 RANCH ROAD 2222",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301159",
            "telephone_number": "512-327-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Ewing St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303372",
            "country_code": "US",
            "telephone_number": "740-687-8651",
            "fax_number": "740-687-8974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAI",
        "first_name": "RACHEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012506",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtai1169124@direct.sw.org",
            "affiliation": "N",
            "address_1": "10815 Ranch Road 2222",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787301159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.