Individual provider Active NPI

Chad Ryan Fontana, P.A.

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1679533590
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA02691 Issued in TX
Practice address
6818 Austin Center Blvd Ste 200
Austin, TX 78731-3100
Phone
(512) 856-1000
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02691 TX
Surgical Physician Assistant 363AS0400X PA02691 TX Primary

Addresses

Primary practice location

6818 Austin Center Blvd Ste 200
Austin, TX 78731-3100

Mailing address

6818 Austin Center Blvd Ste 200
Austin, TX 78731-3100
Phone (512) 856-1000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000383 TX Practitioner - Physician Assistant 4587694740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joel H Hurt MD PLLCGroup PAC ID 2163842295, 15 clinicians

Practice addresses (Care Compare)

11675 Jollyville Rd
Suite 207
Austin, TX 78759-4105
Phone (512) 856-1000

1502 Blue Ridge Dr
Suite 201
Georgetown, TX 78626-1002
Phone (512) 856-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.17 of 100Reported as group
Quality
65.64
Improvement activities
40
Cost
56.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02691TXMDSurgical Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1679533590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 AUSTIN CENTER BLVD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313100",
            "telephone_number": "512-856-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 AUSTIN CENTER BLVD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313100",
            "telephone_number": "512-856-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "CHAD",
        "middle_name": "RYAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02691",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.