Individual provider Active NPI

Erika Gehl Deardorf, PA-C

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1649729781
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10968 Issued in TX
Practice address
2000 S Interstate 35 Ste N5
Round Rock, TX 78681-6921
Phone
(512) 729-3138
Fax
(512) 599-9181
NPI assigned
Sep 30, 2016
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10968 TX Primary
Surgical Physician Assistant 363AS0400X PA10968 TX

Addresses

Primary practice location

2000 S Interstate 35 Ste N5
Round Rock, TX 78681-6921

Mailing address

2000 S Interstate 35 Ste N5
Round Rock, TX 78681-6921
Phone (512) 729-3138

Other practice location 1

5300 Bee Caves Rd Ste 220
West Lake Hills, TX 78746-5226
Phone (512) 640-0010

Other practice location 2

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171204000098 TX Practitioner - Physician Assistant 5799042552 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians

Practice addresses (Care Compare)

709 E Slaughter LN
Suite 404
Austin, TX 78744-2156
Phone (512) 277-6643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10968TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Aug 24, 2021 Accepting new patients
Doctx3 PLLC CurrentSince Aug 24, 2021 Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

2000 S Interstate 35
Ste N5
Round Rock, TX 78681
Phone (512) 244-3822

2419 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 535-6842

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1649729781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S INTERSTATE 35 STE N5",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816921",
            "telephone_number": "512-729-3138",
            "fax_number": "512-599-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S INTERSTATE 35 STE N5",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816921",
            "telephone_number": "512-729-3138",
            "fax_number": "512-599-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Bee Caves Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465226",
            "country_code": "US",
            "telephone_number": "512-640-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042235",
            "country_code": "US",
            "telephone_number": "361-881-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARDORF",
        "first_name": "ERIKA",
        "middle_name": "GEHL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10968",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.