Active NPI
Asha Rachel De, M.D.
- Internal Medicine Physician
- Jbsa Lackland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U5382
- Practice address
- 1100 Wilford Hall Loop
BLDG 4554
Jbsa Lackland, TX 78236 - Phone
- (210) 292-6225
- Fax
- (210) 292-7868
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | U5382 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 0101259166 | VA |
Addresses
Primary practice location
1100 Wilford Hall Loop
BLDG 4554
Jbsa Lackland, TX 78236
Mailing address
2737 San Milan Pass
Round Rock, TX 78665-3955
Phone (214) 250-8593
Other practice location 1
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-5557
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of South Carolina School of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Community Health Centers | Current | Accepting new patients | |
| Central Texas Community Health Centers | Internal Medicine | Current | Accepting new patients |
| Central Texas Community Health Centers | Past | Accepting new patients |
Locations
2529 S 1st St
Austin, TX 78704
Phone (512) 972-4722
2901 Montopolis Dr
Austin, TX 78741
Phone (512) 389-1010
1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300
1705 E 11th St
Austin, TX 78702
Phone (512) 978-8400
825 E Rundberg Ln
Ste B1
Austin, TX 78753
Phone (512) 978-9600
6633 E Highway 290
Ste 100
Austin, TX 78723
Phone (682) 800-3163
6801 S Ih 35
Ste 1E
Austin, TX 78744
Phone (512) 978-9960
301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318
14008 Shadowglen Blvd
Ste 302
Manor, TX 78653
Phone (512) 445-4800
2700 W Pecan St
Ste 450
Pflugerville, TX 78660
Phone (512) 978-9213
1201 S Interstate 35
Ste 303
Round Rock, TX 78664
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1427882091
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1598591414
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1861420382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1689086522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 SAN MILAN PASS",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653955",
"telephone_number": "214-250-8593",
"fax_number": "210-292-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"address_2": "BLDG 4554",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "78236",
"telephone_number": "210-292-6225",
"fax_number": "210-292-7868"
}
],
"practiceLocations": [
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-539-5557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE",
"first_name": "ASHA",
"middle_name": "RACHEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U5382",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101259166",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.