Individual provider Active NPI

Jennifer Goetz, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Austin, TX
National Provider Identifier
1669674354
Registry record updated Aug 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
P5809 Issued in TX
Practice address
919 E 32ND St
Nicu, 3Rd Floor
Austin, TX 78705-2703
Phone
(519) 954-4150
NPI assigned
Jun 4, 2007
Last updated
Aug 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.094748 OH
Neonatal-Perinatal Medicine Physician 2080N0001X P5809 TX Primary

Addresses

Primary practice location

919 E 32ND St
Nicu, 3Rd Floor
Austin, TX 78705-2703

Mailing address

919 E 32ND St
Nicu, 3Rd Floor
Austin, TX 78705-2703
Phone (519) 954-4150

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
I20130805000606 TX Practitioner - Pediatric Medicine 9234311028 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.094748OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Jul 1, 2013 Accepting new patients
St. David's Healthcare Partnership, L.P., LLP Past Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients

Locations

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

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

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

919 E 32nd St
Fl 3
Austin, TX 78705
Phone (519) 954-4150

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

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

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, 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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376092800000",
    "number": "1669674354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 E 32ND ST",
            "address_2": "NICU, 3RD FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052703",
            "telephone_number": "519-954-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E 32ND ST",
            "address_2": "NICU, 3RD FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052703",
            "telephone_number": "519-954-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.094748",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "P5809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.