Individual provider Active NPI

Asha Rachel De, M.D.

  • Internal Medicine Physician
  • Jbsa Lackland, TX
National Provider Identifier
1689086522
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U5382 Issued in TX
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

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009000386 TX Practitioner - Internal Medicine 1355637711 Reassigns benefits to 1 organization

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
Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

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

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers CurrentSince Jul 27, 2025 Accepting new patients
Central Texas Community Health Centers Internal Medicine CurrentSince Jul 27, 2025 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.

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

Verify at the official NPI Registry.