Active NPI
Austin Stone Permann, DO
- Internal Medicine Physician
- Fort Worth, TX
National Provider Identifier
1639867005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- W8606
- Practice address
- 1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104 - Phone
- (817) 250-4906
- Fax
- (817) 250-1815
- NPI assigned
- Apr 25, 2023
- Last updated
- Oct 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | W8606 | TX | Primary |
Addresses
Primary practice location
1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104
Mailing address
550 S Jackson St FL Street3
Louisville, KY 40202-1622
Phone (502) 852-5666
Other practice location 1
530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000
Other practice location 2
550 S Jackson St Fl 3
Louisville, KY 40202-1622
Phone (502) 852-5666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241010001221 | KY | Order and Referring Only - Internal Medicine | 1850823295 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W8606 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1639867005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S JACKSON ST FL STREET3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021622",
"telephone_number": "502-852-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W TERRELL AVE STE K230",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043104",
"telephone_number": "817-250-4906",
"fax_number": "817-250-1815"
}
],
"practiceLocations": [
{
"address_1": "530 S Jackson St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021675",
"country_code": "US",
"telephone_number": "502-562-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 S Jackson St Fl 3",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021622",
"country_code": "US",
"telephone_number": "502-852-5666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERMANN",
"first_name": "AUSTIN",
"middle_name": "STONE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-25",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "W8606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.