Individual provider Active NPI

Russell Shane Frautschi, MD

  • Plastic and Reconstructive Surgery Physician
  • West Lake Hills, TX
National Provider Identifier
1700375862
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
V5073 Issued in TX
Practice address
7004 Bee Caves Rd Ste 2-100
West Lake Hills, TX 78746-5086
Phone
(512) 642-5050
Fax
(512) 642-8186
NPI assigned
May 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X V5073 TX Primary

Addresses

Primary practice location

7004 Bee Caves Rd Ste 2-100
West Lake Hills, TX 78746-5086

Mailing address

7004 Bee Caves Rd Ste 2-100
West Lake Hills, TX 78746-5086
Phone (512) 642-5050

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
I20250516002957 TX Practitioner - Plastic and Reconstructive Surgery 4082969449 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V5073TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Oculoplastics PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

2800 S 35
Ste 165
Austin, TX 78704

7004 Bee Caves Rd
Ste 2-100
West Lake Hills, TX 78746

7004 Bee Caves Rd
Bldg 2
West Lake Hills, TX 78746
Phone (512) 306-1394

Organizations & group practices 1

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1700375862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 BEE CAVES RD STE 2-100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465086",
            "telephone_number": "512-642-5050",
            "fax_number": "512-642-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 BEE CAVES RD STE 2-100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465086",
            "telephone_number": "512-642-5050",
            "fax_number": "512-642-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUTSCHI",
        "first_name": "RUSSELL",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "V5073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.