Individual provider Active NPI

Austin Pham

  • Anesthesiologist Assistant
  • Austin, TX
National Provider Identifier
1669157004
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
919 E 32ND St
Austin, TX 78705-2703
Phone
(512) 544-7111
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X Primary

Addresses

Primary practice location

919 E 32ND St
Austin, TX 78705-2703

Mailing address

12418 Copperfield Dr
Austin, TX 78753-7093
Phone (512) 554-6258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325003464 TX Practitioner - Anesthesiology Assistant 7911344007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group, PLLC Anesthesiologist Assistant CurrentSince Feb 1, 2024 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1111 W 34th St
Austin, TX 78705
Phone (512) 343-2466

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

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

12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753

1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000

12200 Renfert Way
Ste G-2
Austin, TX 78758
Phone (512) 901-8340

900 W 38th St
Ste 200
Austin, TX 78705
Phone (512) 323-2061

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005

16030 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 246-8777

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

1891 Medical Pkwy
San Marcos, TX 78666
Phone (512) 754-7999

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.

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1669157004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12418 COPPERFIELD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787537093",
            "telephone_number": "512-554-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E 32ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052703",
            "telephone_number": "512-544-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.