Active NPI
Michael Howard Coverman, M.D.
- Dermatology Physician
- Austin, TX
National Provider Identifier
1710098975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F0945
- Practice address
- 12201 Renfert Way Ste 305
Austin, TX 78758-5371 - Phone
- (512) 279-3376
- Fax
- (512) 540-8524
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | F0945 | TX | |
| Dermatology Physician | 207N00000X | F0945 | TX | Primary |
Addresses
Primary practice location
12201 Renfert Way Ste 305
Austin, TX 78758-5371
Mailing address
12201 Renfert Way Ste 305
Austin, TX 78758-5371
Phone (512) 279-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AA540 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0945 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westlake Dermatology PA | Dermatology | Past | Accepting new patients |
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.
-
- Dermatology Physician
- Austin, TX
- NPI 1518939347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1710098975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY STE 305",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585371",
"telephone_number": "512-279-3376",
"fax_number": "512-666-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY STE 305",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585371",
"telephone_number": "512-279-3376",
"fax_number": "512-540-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVERMAN",
"first_name": "MICHAEL",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "TX",
"license": "F0945",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "F0945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8AA540",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.