Individual provider Active NPI

Ashley Maltz, MD, MPH

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1629269816
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P5676 Issued in TX
Practice address
904 West Ave Ste 109
Austin, TX 78701-2204
Phone
(713) 502-7607
NPI assigned
Aug 5, 2007
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2013-0240 NM
Internal Medicine Physician 207R00000X P5676 TX Primary

Addresses

Primary practice location

904 West Ave Ste 109
Austin, TX 78701-2204

Mailing address

904 West Ave Ste 109
Austin, TX 78701-2204
Phone (512) 814-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 23, 2019 through Jul 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2013-0240NMMDInternal Medicine Physician
P5676TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Flow Medicine Internal Medicine Current Accepting new patients

Locations

904 West Ave
Ste 109
Austin, TX 78701
Phone (512) 814-0148

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1629269816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WEST AVE STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012204",
            "telephone_number": "512-814-0148",
            "fax_number": "505-272-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WEST AVE STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012204",
            "telephone_number": "713-502-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTZ",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-07-07",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2013-0240",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.