Individual provider Active NPI

Olena Nakonechna, M.D.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1629254883
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M1966 Issued in TX
Practice address
3706 S 1St St
Austin, TX 78704-7046
Phone
(512) 324-4973
Fax
(512) 324-4948
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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 M1966 TX Primary

Addresses

Primary practice location

3706 S 1St St
Austin, TX 78704-7046

Mailing address

3706 S 1St St
Austin, TX 78704-7046
Phone (512) 324-4973

Other identifiers 2

IdentifierTypeStateIssuer
8D9219OtherTXMEDICARE
1744872-04MedicaidTX

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
I20050921000425 TX Practitioner - Pediatric MedicinePractitioner - Family Practice 7719910363 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics CurrentSince May 25, 2011 Accepting new patients
Seton Family of Doctors CurrentSince May 1, 2018 Accepting new patients
Seton Family of Doctors CurrentSince May 1, 2018 Accepting new patients
Ascension Seton Past Accepting new patients
Ascension Seton Past Accepting new patients

Locations

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

2811 E 2nd St
Austin, TX 78702
Phone (512) 324-4930

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

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

Interoperability endpoints

  • Direct secure messaging: olena.nakonechna.1@8363.direct.athenahealth.com
  • Direct secure messaging: onakonec@yourcarecommunity.org

Organizations & group practices 5

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1629254883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047046",
            "telephone_number": "512-324-4973",
            "fax_number": "512-324-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047046",
            "telephone_number": "512-324-4973",
            "fax_number": "512-324-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKONECHNA",
        "first_name": "OLENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8D9219",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744872-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.