Lone Star Circle of Care
Organization Active NPI Pediatrics Physician · Austin, TX
NPI 1649600255 · NPPES record last updated Nov 18, 2013
Key facts
- NPI
- 1649600255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- LONE STAR CIRCLE OF CARE
- Practice address
- 5339 N Ih 35
Suite 100
Austin, TX 78723-2428 - Phone
- (877) 800-5722
- NPI assigned
- Nov 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Peter Perialas Jr.
- Title
- Ceo
- Phone
- (877) 800-5722
Other NPIs on the same Medicare enrollment 39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040622000184 | TX | Part B Supplier - Clinic/Group Practice | 5193709392 |
Receives reassigned benefits from 181 practitioners 39 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Austin, TX; Taylor, TX; Round Rock, TX; Pflugerville, TX; Killeen, TX; Jonestown, TX; Hutto, TX; Harker Heights, TX… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
5339 N Ih 35
Suite 100
Austin, TX 78723-2428
Mailing address
205 E University Ave
Suite 200
Georgetown, TX 78626-6814
Phone (877) 800-5722
Other names
- Lone Star Circle of Care at Capital Plaza
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.