Individual provider Active NPI

Kate C Tindall, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1649565409
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
Q0192 Issued in TX
Practice address
4107 Spicewood Springs Rd Ste 100
Austin, TX 78759-8645
Phone
(123) 973-3605
Fax
(512) 343-7107
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X Q0192 TX Primary

Addresses

Primary practice location

4107 Spicewood Springs Rd Ste 100
Austin, TX 78759-8645

Mailing address

4107 Spicewood Springs Rd Ste 100
Austin, TX 78759-8645
Phone (123) 973-3605

Other identifiers 2

IdentifierTypeStateIssuer
888661OtherTXMEDICARE
3594632-03MedicaidTX

Other names 1

  • Kate Mazzarella 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
I20160713002642 TX Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 6204128101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Texas Palliative Care AssociatesGroup PAC ID 4880686773, 5 clinicians
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

4107 Spicewood Springs Rd
Suite 100
Austin, TX 78759-8645
Phone (512) 937-3360

6204 Balcones Dr
Austin, TX 78731-4214
Phone (512) 427-9400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 15, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 15, 2016 Accepting new patients
Central Texas Palliative Care Associates Hospice and Palliative Medicine CurrentSince Oct 14, 2019 Accepting new patients
Hospice Austin PastSince Oct 14, 2019 Accepting new patients

Locations

4107 Spicewood Springs Rd
Ste 100
Austin, TX 78759
Phone (512) 342-4700

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: katetindall@apc-tx1.direct.office.nextgen.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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1649565409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 SPICEWOOD SPRINGS RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598645",
            "telephone_number": "123-973-3605",
            "fax_number": "512-343-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 SPICEWOOD SPRINGS RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598645",
            "telephone_number": "123-973-3605",
            "fax_number": "512-343-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "KATE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "Q0192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "888661",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3594632-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MAZZARELLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.