Individual provider Active NPI

Marjorie E Viscardi, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1710046206
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2400 Issued in TX
Practice address
5701 W Slaughter LN BLDG C
Austin, TX 78749-6528
Phone
(512) 334-2509
Fax
(512) 334-2589
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54566 AZ
Family Medicine Physician 207Q00000X J2400 TX Primary

Addresses

Primary practice location

5701 W Slaughter LN BLDG C
Austin, TX 78749-6528

Mailing address

706 W Ben White Blvd
Ste a
Austin, TX 78704-8144
Phone (512) 334-2509

Other identifiers 3

IdentifierTypeStateIssuer
135951509MedicaidTX
J2400OtherTXMEDICAL LICENSE
P01330571OtherTXRRMC PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040420001808 TX Practitioner - Family Practice 5799771465 Reassigns benefits to 3 organizations
I20200428001030 AZ Practitioner - Family Practice 5799771465 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54566AZMDFamily Medicine Physician
J2400TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 22, 2020 Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 12, 2020 Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince Jun 12, 2020 Accepting new patients
St. David'S Carenow Urgent Care PLLC Family Medicine CurrentSince Apr 17, 2020 Accepting new patients
Signify Health, LLC CurrentSince Jan 22, 2021 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

3800 N Central Ave
Ste 460
Phoenix, AZ 85012
Phone (469) 466-7006

11521 N Ranch Road 620
Ste 100
Austin, TX 78726
Phone (512) 402-6830

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

135 Bunton Creek Rd
Ste 10
Kyle, TX 78640
Phone (512) 268-2091

135 Bunton Creek Rd
Ste 102
Kyle, TX 78640
Phone (512) 268-2091

Organizations & group practices 6

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710046206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W BEN WHITE BLVD",
            "address_2": "STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048144",
            "telephone_number": "512-334-2509",
            "fax_number": "512-334-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W SLAUGHTER LN BLDG C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496528",
            "telephone_number": "512-334-2509",
            "fax_number": "512-334-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCARDI",
        "first_name": "MARJORIE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135951509",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J2400",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PTAN",
            "identifier": "P01330571",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.