Iris Sofia Wingrove, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

N4847 Issued in TX

Practice address

6611 River Place Blvd Ste 205
Austin, TX 78730-1179

Phone

(512) 593-2131

Fax

(737) 800-9351

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Specialty

Neurology

Education

University of Texas Medical Branch at Galveston, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David'S Medical Center Hospital, Austin, TX, CCN 450431

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: iris.wingrove@16704079527940.direct.elationemr.com

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.

• Neuralwatch Texas PLLC

  • Specialist
  • Ann Arbor, MI
  • NPI 1063705465
  NPD (past)

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

• St. Davids Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1710008792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301179",
            "telephone_number": "512-593-2131",
            "fax_number": "737-800-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301179",
            "telephone_number": "512-593-2131",
            "fax_number": "737-800-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGROVE",
        "first_name": "IRIS",
        "middle_name": "SOFIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "49889",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N4847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Grace Wing, L.P.C.
• Wendy Wing, ACNS-BC, RN
• Hannah Joy Winger, RN
• Jami Jean Wingert, FNP-C
• Nyama Wingood, AC
• Dustin Winkel, LICSW, LCSW
• Tammy Jo Winkenwerder, LPC
• Elizabeth Winkler, RPH
• Loveda Winkles, PMHNP-BC
• Chris Winkley, P.T.

• Neurology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.