Individual provider Active NPI

Souhail Asfouri, M.D.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1699722199
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H8979 Issued in TX
Practice address
4316 James Casey St
BLD F #200
Austin, TX 78745-1109
Phone
(512) 444-1811
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H8979 TX Primary

Addresses

Primary practice location

4316 James Casey St
BLD F #200
Austin, TX 78745-1109

Mailing address

4316 James Casey St
BLD F #200
Austin, TX 78745-1109
Phone (512) 444-1811

Other identifiers 1

IdentifierTypeStateIssuer
104961103MedicaidTX

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
I20050923000130 TX Practitioner - Obstetrics/Gynecology 5890729339 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4316 James Casey St
Suite 200
Austin, TX 78745-1138
Phone (512) 444-1811

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1699722199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BLD F #200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451109",
            "telephone_number": "512-444-1811",
            "fax_number": "512-444-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BLD F #200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451109",
            "telephone_number": "512-444-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASFOURI",
        "first_name": "SOUHAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H8979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104961103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.