Individual provider Active NPI

Nicholas Ryan Spencer, M.D.

  • Maternal & Fetal Medicine Physician
  • Austin, TX
National Provider Identifier
1699121665
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
S8496 Issued in TX
Practice address
12200 Renfert Way Ste G-3
Austin, TX 78758-5654
Phone
(512) 821-2540
Fax
(512) 973-3533
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X S8496 TX Primary

Addresses

Primary practice location

12200 Renfert Way Ste G-3
Austin, TX 78758-5654

Mailing address

12200 Renfert Way Ste G-3
Austin, TX 78758-5654
Phone (128) 212-5405

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
I20201111001037 TX Practitioner - Obstetrics/Gynecology 1557640646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Specialized Womens Services PLLCGroup PAC ID 1254478951, 26 clinicians

Practice addresses (Care Compare)

12200 Renfert Way
Suite G3
Austin, TX 78758-5654
Phone (512) 821-2540

800 Central Texas Expressway
250 North Austin Maternal Fetal Medicine
Harker Heights Expy, TX 76548-3200
Phone (512) 821-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Specialized Women'S Services, PLLC Maternal & Fetal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Utmb Faculty Group Practice Obstetrics & Gynecology CurrentSince Dec 1, 2020 Accepting new patients
Methodist Physician Practices, PLLC Maternal & Fetal Medicine PastSince Jun 11, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4316 James Casey St
Ste B-101
Austin, TX 78745
Phone (512) 326-5175

3000 N Interstate 35
Ste 655
Austin, TX 78705

12200 Renfert Way
Ste G-3
Austin, TX 78758

815 W State Highway 71
Ste 1120
Bastrop, TX 78602

1401 Medical Pkwy
Ste 408
Cedar Park, TX 78613

1401 Medical Pkwy
Ste 150
Cedar Park, TX 78613
Phone (512) 901-4002

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

102 Max Starcke Dam Rd
Ste 100
Marble Falls, TX 78654
Phone (512) 901-3910

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
  • Direct secure messaging: nicholas.spencer@hca8.eclinicaldirectplus.com

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1699121665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY STE G-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585654",
            "telephone_number": "128-212-5405",
            "fax_number": "512-973-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY STE G-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585654",
            "telephone_number": "512-821-2540",
            "fax_number": "512-973-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "S8496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.