Individual provider Active NPI

Cody Wayne Austin

  • Anesthesiologist Assistant
  • Carrollton, TX
National Provider Identifier
1689393548
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
32698187 Issued in TX
Practice address
1401 E Trinity Mills Rd
Carrollton, TX 75006-1442
Phone
(972) 810-0700
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 32698187 TX Primary

Addresses

Primary practice location

1401 E Trinity Mills Rd
Carrollton, TX 75006-1442

Mailing address

235 Jamar Dr
Weatherford, TX 76088-2213
Phone (817) 565-9689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927003927 TX Practitioner - Anesthesiology Assistant 7113303264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luxe Anesthesia PLLCGroup PAC ID 1355652991, 5 clinicians

Practice addresses (Care Compare)

1401 E Trinity Mills Rd
Carollton, TX 75006-1442
Phone (972) 810-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
32698187TXMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Partners, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Luxe Anesthesia, PLLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1689393548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 JAMAR DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760882213",
            "telephone_number": "817-565-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E TRINITY MILLS RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061442",
            "telephone_number": "972-810-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "CODY",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "TX",
            "license": "32698187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.