NPIMap

Organization Active NPI

Austin Radiological Association

  • Radiology Clinic/Center
  • San Marcos, TX
National Provider Identifier
1710964655
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
R00151 Issued in TX
Legal business name
AUSTIN RADIOLOGICAL ASSOCIATION
Practice address
1348 Highway 123
San Marcos, TX 78666-7848
Phone
(512) 392-1831
Fax
(512) 353-4528
NPI assigned
Dec 30, 2005
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Sharlee Lebleu
Title
Vice President
Phone
(480) 321-7026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X R00151 TX Primary
Mobile Radiology Clinic/Center 261QR0208X L05329 TX

Addresses

Primary practice location

1348 Highway 123
San Marcos, TX 78666-7848

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers 3

IdentifierTypeStateIssuer
203298901MedicaidTX
CG5736OtherTXRAILROAD MEDICARE
131020304MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330000453 TX Part B Supplier - Clinic/Group Practice 4880686179 Receives reassigned benefits from 200 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20090617000278 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4880686179 Practice locations: San Marcos, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4201 Marathon Blvd
Austin, TX 78756
Phone (512) 215-9984

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

1348 N State Highway 123
San Marcos, TX 78666
Phone (512) 392-1831

5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407

Practitioners & affiliated clinicians

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1710964655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-519-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 HIGHWAY 123",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667848",
            "telephone_number": "512-392-1831",
            "fax_number": "512-353-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN RADIOLOGICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "LEBLEU",
        "authorized_official_first_name": "SHARLEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-321-7026"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R00151",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "TX",
            "license": "L05329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203298901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG5736",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131020304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.