Individual provider Active NPI

Christian Wichterman, M.D.

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1669853552
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
T1260 Issued in TX
Practice address
6811 Austin Center Blvd Ste 300
Austin, TX 78731-3295
Phone
(512) 346-8888
Fax
(512) 406-7321
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X T1260 TX Primary
Dermatology Physician 207N00000X 4301500695 MI

Addresses

Primary practice location

6811 Austin Center Blvd Ste 300
Austin, TX 78731-3295

Mailing address

6210 E Hwy 290
Austin, TX 78723-1098
Phone (512) 483-9596

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
I20211013003714 TX Practitioner - Dermatology 9234447087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

6811 Austin Ctr Blvd
Suite 300
Austin, TX 78731-3295
Phone (512) 421-4424

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions248
Skin biopsy58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1260TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Nov 1, 2021 Accepting new patients
Austin Regional Clinic, PA Dermatology CurrentSince Nov 1, 2021 Accepting new patients

Locations

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6811 Austin Center Blvd
Ste 300
Austin, TX 78731
Phone (512) 346-8888

6210 E Highway 290
Austin, TX 78723

1401 Medical Pkwy
Ste 220
Cedar Park, TX 78613
Phone (512) 260-1581

1401 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 260-1581

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: cwichterman26037@arcmd.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1669853552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231098",
            "telephone_number": "512-483-9596",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313295",
            "telephone_number": "512-346-8888",
            "fax_number": "512-406-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHTERMAN",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T1260",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301500695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.