Individual provider Active NPI

Diane L Warmoth, PA

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1700873700
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04035 Issued in TX
Practice address
300 University Blvd BLDG a
Round Rock, TX 78665
Phone
(512) 509-0200
NPI assigned
Oct 4, 2005
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04035 TX Primary

Addresses

Primary practice location

300 University Blvd BLDG a
Round Rock, TX 78665

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice location 1

12221 N Mopac Expressway
Austin, TX 78758-2483
Phone (512) 901-4021

Other identifiers 3

IdentifierTypeStateIssuer
062599802MedicaidTX
337171802MedicaidTX
337171803MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwarmoth437839@direct.sw.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000304 TX Practitioner - Physician Assistant 9133146038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530

12221 N Mopac Expy
Department of Laboratory Services
Austin, TX 78758-2483
Phone (512) 901-1111

2400 Cedar Bend Dr
Austin, TX 78758-5378
Phone (512) 901-4011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
64.52
Promoting interoperability
100
Improvement activities
40
Cost
73.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Diagnostic Clinic CurrentSince Nov 1, 2023 Accepting new patients
The Austin Diagnostic Clinic, PLLC CurrentSince Nov 1, 2023 Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

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

5701 W Slaughter Ln
Bldg C
Austin, TX 78749
Phone (512) 334-2504

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1330 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 805-0680

1250 S Capital of Texas Hwy
Bldg 3-100
West Lake Hills, TX 78746

1250 S Capital of Texas Hwy
West Lake Hills, TX 78746
Phone (512) 334-2403

Interoperability endpoints

  • Direct secure messaging: dwarmoth437839@direct.sw.org
  • Direct secure messaging: diane.warmoth@hca8.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1700873700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD BLDG A",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-509-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12221 N Mopac Expressway",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582483",
            "country_code": "US",
            "telephone_number": "512-901-4021",
            "fax_number": "512-901-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARMOTH",
        "first_name": "DIANE",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062599802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337171802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337171803",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwarmoth437839@direct.sw.org",
            "affiliation": "N",
            "address_1": "300 University Blvd Bldg A",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.