Individual provider Active NPI

Kit Erica Purdy, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
National Provider Identifier
1659556231
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M9587 Issued in TX
Practice address
601 E 15TH St
Department of Pathology
Austin, TX 78701-1930
Phone
(512) 324-7516
Fax
(512) 324-7536
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M9587 TX Primary

Addresses

Primary practice location

601 E 15TH St
Department of Pathology
Austin, TX 78701-1930

Mailing address

1608 W 34TH St
Austin, TX 78703-1458
Phone (512) 324-7516

Other identifiers 2

IdentifierTypeStateIssuer
194689904MedicaidTX
194689903MedicaidTX

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
I20080821000457 TX Practitioner - Pathology 7618042839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of North Carolina at Chapel Hill School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Pathology AssociatesGroup PAC ID 7012902539, 76 clinicians

Practice addresses (Care Compare)

3801 N Lamar Blvd
Dept of Pathology
Austin, TX 78756-4080
Phone (512) 407-7550

901 W Ben White Blvd
Austin, TX 78704-6903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9587TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Jul 13, 2009 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients
Travis Pathology Associates PA Anatomic Pathology & Clinical Pathology Past Accepting new patients
Travis Pathology Associates PA Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1659556231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W 34TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031458",
            "telephone_number": "512-324-7516",
            "fax_number": "512-324-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 15TH ST",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011930",
            "telephone_number": "512-324-7516",
            "fax_number": "512-324-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "KIT",
        "middle_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M9587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194689904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194689903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.