NPIMap

Individual provider Active NPI

Anjana Philip, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1669675757
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1385 Issued in TX
Practice address
8133 Mesa Dr
Suite # 204
Austin, TX 78759-8655
Phone
(512) 452-2100
Fax
(855) 836-7222
NPI assigned
Jun 7, 2007
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L2847 AL
Nephrology Physician 207RN0300X E-6627 AR
Nephrology Physician 207RN0300X P1385 TX
Internal Medicine Physician 207R00000X P1385 TX Primary

Addresses

Primary practice location

8133 Mesa Dr
Suite # 204
Austin, TX 78759-8655

Mailing address

8133 Mesa Dr
Suite # 204
Austin, TX 78759-8655
Phone (512) 452-2100

Other identifiers 1

IdentifierTypeStateIssuer
287134501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000323 TX Practitioner - Internal MedicinePractitioner - Nephrology 0143354258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Geriatric Specialists PLLCGroup PAC ID 5092770511, 59 clinicians

Practice addresses (Care Compare)

11406 Rustic Rock Dr
Austin, TX 78750-3505
Phone (512) 477-4088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1385TXMDInternal Medicine Physician
L2847ALMDNephrology Physician
E-6627ARMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Geriatric Specialists, PLLC CurrentSince Feb 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Hni Medical Services Internal Medicine Past Accepting new patients
Austin Regional Clinic, PA Internal Medicine Past Accepting new patients
Frio Hospital District Past Accepting new patients

Locations

1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915

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

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: anjana.philip.1@25850.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Longhorn VillageAustin, TX, CCN 676266 Skilled nursing facility Adp of the SNF Feb 1, 2016
Cedar Pointe Health and Wellness CenterCedar Park, TX, CCN 676432 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Dec 27, 2024
Dec 27, 2024
Dec 27, 2024
Accentcare Hospice & Palliative Care - AustinAustin, TX, CCN 671554 Hospice W-2 Managing Employee Jun 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1669675757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 MESA DR",
            "address_2": "SUITE # 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598655",
            "telephone_number": "512-452-2100",
            "fax_number": "855-836-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 MESA DR",
            "address_2": "SUITE # 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598655",
            "telephone_number": "512-452-2100",
            "fax_number": "855-836-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "ANJANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "L2847",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E-6627",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P1385",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287134501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.