Organization Active NPI

Ditto Surgical, PLLC

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1710413554
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DITTO SURGICAL, PLLC
Practice address
11615 Angus Rd Ste 106
Austin, TX 78759-4064
Phone
(512) 436-9986
Fax
(512) 436-8295
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Shey Kyle Ditto, DONPI 1316387061
Title
Owner
Phone
(512) 436-8295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

11615 Angus Rd Ste 106
Austin, TX 78759-4064

Mailing address

11615 Angus Rd Ste 106
Austin, TX 78759-4064
Phone (512) 436-9986

Other identifiers 1

IdentifierTypeStateIssuer
393645201MedicaidTX

Other names 1

  • ATX Robotic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170824000175 TX Part B Supplier - Clinic/Group Practice 6608148754 Receives reassigned benefits from 4 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1710413554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594064",
            "telephone_number": "512-436-9986",
            "fax_number": "512-436-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594064",
            "telephone_number": "512-436-9986",
            "fax_number": "512-436-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITTO SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "DITTO",
        "authorized_official_first_name": "SHEY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-436-8295",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393645201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATX Robotic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.