Active NPI
Marcia Rannefeld, DO
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1699738849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L3445
- Practice address
- 730 West Stassney
Suite 110
Austin, TX 78745 - Phone
- (512) 744-6020
- Fax
- (512) 485-1294
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L3445 | TX | Primary |
Addresses
Primary practice location
730 West Stassney
Suite 110
Austin, TX 78745
Mailing address
6705 Hwy 290 West
Suite C-1
Austin, TX 78735
Phone (512) 892-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8P1407 | Other | TX | BLUE CROSS |
| 152283103 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3445 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Community Health Centers | Current | Accepting new patients | |
| Central Texas Community Health Centers | Current | Accepting new patients | |
| Central Texas Community Health Centers | Past | Accepting new patients |
Locations
1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300
6425 S Interstate 35
Ste 100
Austin, TX 78744
301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1427882091
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1598591414
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1861420382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1699738849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6705 HWY 290 WEST",
"address_2": "SUITE C-1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735",
"telephone_number": "512-892-7200",
"fax_number": "512-892-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 WEST STASSNEY",
"address_2": "SUITE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78745",
"telephone_number": "512-744-6020",
"fax_number": "512-485-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANNEFELD",
"first_name": "MARCIA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L3445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8P1407",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152283103",
"state": "TX"
}
],
"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 Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.