South Austin Health Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SOUTH AUSTIN HEALTH IMAGING LLC

Practice address

4316 James Casey St
BLDG F Suite 110
Austin, TX 78745-1116

Phone

(512) 444-8900

Fax

(512) 444-7244

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

David Avery

Title

Managing Owner

Phone

(512) 444-8900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX13 enrollments

Enrollment records 13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• South Austin Health Imaging LLC

  • Radiology Clinic/Center
  • Rollingwood, TX
  • NPI 1558210450
  NPPES parent name

Practitioners 13

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

• James M. Callas, MD

  • Diagnostic Radiology Physician
  • Killeen, TX
  • NPI 1316933401
  NPD
• Brett Deatherage, M.D.

  • Diagnostic Radiology Physician
  • Kyle, TX
  • NPI 1669821070
  NPD
• Gustavo G Villarreal Jr, MD

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1649231036
  NPD
• Anupam Basu, M.D.

  • Diagnostic Radiology Physician
  • Evanston, IL
  • NPI 1043486533
  NPD
• John Bertozzi, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1326230095
  NPD
• Darren Michael Buono, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1912004698
  NPD
• Vikram Krishan Sobti, M.D.

  • Diagnostic Radiology Physician
  • Oak Park, IL
  • NPI 1851608756
  NPD
• Ravi Jay Jhaveri, MD

  • Diagnostic Radiology Physician
  • Austin, TX
  • NPI 1215931027
  NPD (past)
• Chirag Parghi, M.D.

  • Diagnostic Radiology Physician
  • Spring, TX
  • NPI 1043549231
  NPD (past)
• Jerry Allen Powell, M.D.

  • Pediatric Radiology Physician
  • Dallas, TX
  • NPI 1801896543
  NPD (past)
• Paul Anthony Tucker II, M.D.

  • Interventional Cardiology Physician
  • Austin, TX
  • NPI 1134104847
  NPD (past)
• Mumtaz B Syed, MD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Huntington, WV
  • NPI 1396004859
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1629123765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BLDG F SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 W Broade St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786416552",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Wilco Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hutto",
            "state": "TX",
            "postal_code": "786342739",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10103 Huebner Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401320",
            "country_code": "US",
            "telephone_number": "210-807-4513",
            "fax_number": "210-855-9096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1502 Blue Ridge Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786261002",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18626 Hardy Oak Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584218",
            "country_code": "US",
            "telephone_number": "210-807-4513",
            "fax_number": "210-855-9096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Falls Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Marble Falls",
            "state": "TX",
            "postal_code": "786544608",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Fm 1626 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486035",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Highway 71 E Ste 108",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025159",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S W S Young Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765423373",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 W Parmer Ln Ste J",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787274657",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Discovery Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132294",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Bunton Creek Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786405701",
            "country_code": "US",
            "telephone_number": "512-444-8900",
            "fax_number": "512-444-7244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH AUSTIN HEALTH IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "512-444-8900"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Austin Caregiving Company LLC
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• South Austin Emergency Center, LLC
• South Austin Family Practice Clinic, PLLC
• South Austin Group Health, LLC
• South Austin Healthcare Company
• South Austin Healthcare Company
• South Austin Healthcare Company
• South Austin Medical Clinic PA
• South Austin Microendodontics

• All providers in Austin, TX
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.