NPIMap

Organization Active NPI

Ctra PLLC

Doing business as Central Texas Rheumatology Associates

  • Rheumatology Physician
  • West Lake Hills, TX
National Provider Identifier
1679291009
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
CTRA PLLC
Doing business as
Central Texas Rheumatology Associates
Practice address
4701 Bee Caves Rd Ste 201
West Lake Hills, TX 78746-5366
Phone
(512) 518-4992
Fax
(512) 518-4993
NPI assigned
Aug 22, 2022
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Monty B Tew, MDNPI 1942266689
Title
Officer / Owner
Phone
(512) 518-4992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

4701 Bee Caves Rd Ste 201
West Lake Hills, TX 78746-5366

Mailing address

4701 Bee Caves Rd Ste 201
West Lake Hills, TX 78746-5366
Phone (512) 518-4992

Other practice location 1

2005 N Lakeline Blvd Bldg B
Cedar Park, TX 78613-2473
Phone (512) 518-4690

Other names 1

  • Central Texas Rheumatology Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230118001904 TX Part B Supplier - Clinic/Group Practice 0941671549 Receives reassigned benefits from 5 practitioners
Practice locations: Round Rock, TX; Cedar Park, TX; West Lake Hills, TX

National Provider Directory

National Provider Directory
Tax ID family
Central Texas Rheumatology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2005 N Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 518-4992

2005 N Lakeline Blvd
Bldg B
Cedar Park, TX 78613
Phone (512) 518-4690

2005 N Lakeline Blvd
Ste B
Cedar Park, TX 78613

4701 Bee Caves Rd
Ste 201
West Lake Hills, TX 78746
Phone (512) 518-4992

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1679291009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVES RD STE 201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "512-518-4992",
            "fax_number": "512-518-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVES RD STE 201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "512-518-4992",
            "fax_number": "512-518-4993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 N Lakeline Blvd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132473",
            "country_code": "US",
            "telephone_number": "512-518-4690",
            "fax_number": "512-518-4993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CTRA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "TEW",
        "authorized_official_first_name": "MONTY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICER / OWNER",
        "authorized_official_telephone_number": "512-518-4992",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Rheumatology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Texas Rheumatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.