Individual provider Active NPI

Jennifer Duc

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1629369764
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
BP1-0039529 Issued in TX
Practice address
4900 Mueller Blvd
Suite 3S.066C
Austin, TX 78723-3079
Phone
(512) 324-9999
Fax
(512) 324-0786
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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 BP1-0039529 TX Primary

Addresses

Primary practice location

4900 Mueller Blvd
Suite 3S.066C
Austin, TX 78723-3079

Mailing address

4900 Mueller Blvd
Suite 3S.066C
Austin, TX 78723-3079

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
I20141029002049 TX Practitioner - Pediatric Medicine 5698996924 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0039529TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group Pediatrics CurrentSince Sep 1, 2014 Accepting new patients
Central Texas Community Health Centers CurrentSince Sep 13, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Sep 13, 2025 Accepting new patients
Dell Children'S Medical Group CurrentSince Sep 1, 2014 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients
Seton Family of Doctors Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

4900 Mueller Blvd
Ste 3S66C
Austin, TX 78723
Phone (512) 324-0165

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

2700 W Pecan St
Ste 450
Pflugerville, TX 78660
Phone (512) 978-9213

Interoperability endpoints

  • Direct secure messaging: jennifer.duc.2@8363.direct.athenahealth.com

Organizations & group practices 6

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1629369764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD",
            "address_2": "SUITE 3S.066C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD",
            "address_2": "SUITE 3S.066C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-9999",
            "fax_number": "512-324-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUC",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP1-0039529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.