Individual provider Active NPI

Duff Allen Dean Jr.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1700465762
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V1067 Issued in TX
Practice address
6937 N Interstate 35 Ste 3
Austin, TX 78752-3295
Phone
(877) 800-5722
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Pediatrics Physician 208000000X V1067 TX Primary

Addresses

Primary practice location

6937 N Interstate 35 Ste 3
Austin, TX 78752-3295

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

6431 Fannin St Ste Msb 3151
Houston, TX 77030-1501
Phone (713) 500-5800

Other practice location 2

11111 Research Blvd Ste 295
Austin, TX 78759-5281
Phone (877) 800-5722

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
I20241121004618 TX Practitioner - Pediatric Medicine 9032644455 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Nov 11, 2024 Accepting new patients
Lone Star Circle of Care CurrentSince Nov 11, 2024 Accepting new patients
Lone Star Circle of Care Pediatrics Current Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

11111 Research Blvd
Ste 295
Austin, TX 78759
Phone (512) 439-1003

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

6937 N Interstate 35
Ste 3
Austin, TX 78752

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

Interoperability endpoints

  • Direct secure messaging: duff.dean.1@29821.direct.athenahealth.com

Organizations & group practices 4

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1700465762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 N INTERSTATE 35 STE 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523295",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St Ste Msb 3151",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-5800",
            "fax_number": "713-500-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11111 Research Blvd Ste 295",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595281",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DUFF",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.