NPIMap

Organization Active NPI

Neuroglee Care PLLC

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1689499774
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROGLEE CARE PLLC
Practice address
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone
(888) 411-7686
NPI assigned
Nov 22, 2024
Organization subpart
Yes
Parent organization
NEUROGLEE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Ravi Jaimini Patel
Title
Sole Owner
Phone
(812) 878-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2021 Guadalupe St Ste 260
Austin, TX 78705-5654

Mailing address

101 Arch St FL 8
Boston, MA 02110-7500
Phone (888) 411-7686

National Provider Directory

National Provider Directory
Tax ID family
Neuroglee Care PLLC9 organizations share this tax ID, including this one
Part of
Neuroglee Care PLLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1689499774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ARCH ST FL 8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021107500",
            "telephone_number": "888-411-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055654",
            "telephone_number": "888-411-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROGLEE CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROGLEE HEALTH",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "JAIMINI",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "812-878-0070"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.