Active NPI
Jennifer L. Mushtaler, M.D.
- Obstetrics & Gynecology Physician
- Austin, TX
National Provider Identifier
1649260332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L1141
- Practice address
- 12201 Renfert Way
Suite 325
Austin, TX 78758-5354 - Phone
- (512) 836-2536
- Fax
- (512) 284-8063
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00041045 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | L1141 | TX | Primary |
Addresses
Primary practice location
12201 Renfert Way
Suite 325
Austin, TX 78758-5354
Mailing address
12201 Renfert Way
Suite 325
Austin, TX 78758-5354
Phone (512) 836-2536
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1141 | TX | MD | Obstetrics & Gynecology Physician |
| MD00041045 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Patrick Pevoto, MD, PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Methodist Physician Practices, PLLC | Past | Accepting new patients |
Locations
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
Interoperability endpoints
- 1908-mushtaler-jennifer@direct.leadingreach.com
- https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
- jennifer.mushtaler@hca8.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Surgery Physician
- San Antonio, TX
- NPI 1922252717
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1437306883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1649260332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"address_2": "SUITE 325",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-836-2536",
"fax_number": "512-284-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"address_2": "SUITE 325",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-836-2536",
"fax_number": "512-284-8063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSHTALER",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00041045",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L1141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.