Capital Medical Clinic, LLP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAPITAL MEDICAL CLINIC, LLP

Practice address

1004 W 32ND St
Ste 400
Austin, TX 78705-1915

Phone

(512) 454-5171

NPI assigned

May 23, 2006

Last updated

Jun 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Hager

Title

Administrator

Phone

(512) 454-5171

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27378/brand/1/csg/1/fhir/r4

Practitioners 24

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.

• Nadeem Ansari, D.O.

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1821389636
  Medicare reassignment Care Compare group NPD
• Anthony R Aventa, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1801875034
  Medicare reassignment Care Compare group NPD
• Anna Helena Buteau, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1780114215
  Medicare reassignment Care Compare group NPD
• Erica Marie Carroll, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1831359561
  Medicare reassignment Care Compare group NPD
• Sarah Daniels, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1861652711
  Medicare reassignment Care Compare group NPD
• Nicole Huang Farley, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1750957833
  Medicare reassignment Care Compare group NPD
• Natalie Woodson Harris, D.O.

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1003004201
  Medicare reassignment Care Compare group NPD
• Mark Steven Hernandez, M.D.

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1093783490
  Medicare reassignment Care Compare group NPD
• Kenneth C Kroll, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1831179589
  Medicare reassignment Care Compare group NPD
• Amanda Kimbrough Laviolette, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1538363106
  Medicare reassignment Care Compare group NPD
• Kristine Lee McAndrews, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1356970982
  Medicare reassignment Care Compare group NPD
• Marielle Rominger, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1508501073
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1679528582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST",
            "address_2": "STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-454-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST",
            "address_2": "STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-454-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL MEDICAL CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-454-5171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093718701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital Hearing Centers
• Capital Imaging Association
• Capital Imaging Centers
• Capital Injury Clinic PLLC (Capital Injury Clinic)
• Capital Integrated Center PLLC
• Capital Medical Group Trust
• Capital MRI LLC
• Capital Neurosurgical Association
• Capital OBGYN Associates of Texas, PA
• Capital Optometry Group, PA (Today's Vision)

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.