Individual provider Active NPI

Emily Samantha Kuo, DO

  • Internal Medicine Physician
  • West Lake Hills, TX
National Provider Identifier
1649407453
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q5460 Issued in TX
Practice address
5656 Bee Caves Rd Ste J201
West Lake Hills, TX 78746-5809
Phone
(512) 772-1752
Fax
(512) 772-1753
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 02003826A IN
Internal Medicine Physician 207R00000X Q5460 TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd Ste J201
West Lake Hills, TX 78746-5809

Mailing address

3267 Bee Caves Rd Ste 107-286
Austin, TX 78746-6700
Phone (512) 772-1752

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
I20160711000946 TX Practitioner - Internal Medicine 9133347412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westlake Medical Consultants PLLCGroup PAC ID 8729310099, 2 clinicians

Practice addresses (Care Compare)

5656 Bee Caves Rd
Suite J201
West Lake Hills, TX 78746-5809
Phone (512) 772-1752

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003826AINMDInternal Medicine Physician
Q5460TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Medical Consultants, PLLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Mar 19, 2019 Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

5656 Bee Caves Rd
Ste J201
West Lake Hills, TX 78746
Phone (512) 381-0170

5656 Bee Caves Rd
Ste M
West Lake Hills, TX 78746

3267 Bee Caves Rd
Ste 107286
West Lake Hills, TX 78746

5656 Bee Caves Rd
Ste K102
West Lake Hills, TX 78746
Phone (512) 305-3223

Interoperability endpoints

  • Direct secure messaging: emily.kuo.1@21796.direct.athenahealth.com
  • Direct secure messaging: hwmekuo@yourcarecommunity.org

Organizations & group practices 2

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1649407453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 BEE CAVES RD STE 107-286",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466700",
            "telephone_number": "512-772-1752",
            "fax_number": "512-772-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE J201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465809",
            "telephone_number": "512-772-1752",
            "fax_number": "512-772-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "EMILY",
        "middle_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02003826A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q5460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.