Individual provider Active NPI

Megan E Bouchareb, M.D.

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1639357288
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
44255 Issued in AZ
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Feb 6, 2008
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 002738 GA
Diagnostic Radiology Physician 2085R0202X 44255 AZ Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers 1

IdentifierTypeStateIssuer
615203MedicaidAZ

Other names 1

  • Megan E Bell Former name

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
I20120814000100 TX Practitioner - Diagnostic Radiology 7719165687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

11714 Wilson Parke Ave
175 Austin Radiological Association Wilson
Austin, TX 78726-0002
Phone (512) 519-3457

12700 Lexington St
Unit 300
Manor, TX 78653-2012
Phone (512) 776-1158

1301 W 38TH St
Suite 118
Austin, TX 78705-1010
Phone (512) 454-7380

1600 W 38TH St
Suite 100
Austin, TX 78731-6404
Phone (713) 461-3573

3917 Sierra Dr
Austin, TX 78731-3911
Phone (512) 795-5100

4515 Seton Ctr Pkwy
Suite 105
Austin, TX 78759-5268
Phone (512) 519-3402

5625 Eiger Rd
165 Austin Radiological Association Village
Austin, TX 78735-8980
Phone (512) 519-3474

6818 Austin Ctr Blvd
Suite 101
Austin, TX 78731-3199
Phone (512) 795-8505

901 W 38TH St
Suite 100
Austin, TX 78705-1164
Phone (512) 795-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002738GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Radiological Association CurrentSince Nov 1, 2016 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Mar 9, 2017 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Mar 9, 2017 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Aug 17, 2019 Accepting new patients
Austin Radiological Association CurrentSince Nov 1, 2016 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Mar 9, 2017 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Mar 9, 2017 Accepting new patients

Locations (25 of 27)

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

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

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

1600 W 38th St
Ste 100
Austin, TX 78731
Phone (512) 458-2030

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1639357288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHAREB",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "002738",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "44255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615203",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BELL",
            "middle_name": "E",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.