Individual provider Active NPI

Joshua DZ-Kuan Tao, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Austin, TX
National Provider Identifier
1669645727
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
P0307 Issued in TX
Practice address
3000 N Ih 35
#770
Austin, TX 78705-1804
Phone
(512) 482-8880
Fax
(512) 482-8862
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2005019116 MO
Neonatal-Perinatal Medicine Physician 2080N0001X 2010011926 MO
Neonatal-Perinatal Medicine Physician 2080N0001X P0307 TX Primary

Addresses

Primary practice location

3000 N Ih 35
#770
Austin, TX 78705-1804

Mailing address

3000 N Ih 35
#770
Austin, TX 78705-1804
Phone (512) 482-8880

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
I20111019000791 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 0244402048 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005019116MOMDPediatrics Physician
2010011926MOMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Sep 1, 2011 Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

919 E 32nd 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

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

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

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

Organizations & group practices 3

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1669645727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N IH 35",
            "address_2": "#770",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051804",
            "telephone_number": "512-482-8880",
            "fax_number": "512-482-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N IH 35",
            "address_2": "#770",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051804",
            "telephone_number": "512-482-8880",
            "fax_number": "512-482-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "JOSHUA",
        "middle_name": "DZ-KUAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2005019116",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MO",
            "license": "2010011926",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "P0307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.