Individual provider Active NPI

Jeff E. Hagen, M.D.

  • Obstetrics & Gynecology Physician
  • Bastrop, TX
National Provider Identifier
1710965488
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G2434 Issued in TX
Practice address
301 Highway 71 W
Suite 111
Bastrop, TX 78602-4105
Phone
(512) 304-0318
Fax
(512) 308-9649
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G3424 TX
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G2434 TX Primary

Addresses

Primary practice location

301 Highway 71 W
Suite 111
Bastrop, TX 78602-4105

Mailing address

301 Highway 71 W
Suite 111
Bastrop, TX 78602-4105
Phone (512) 304-0318

Other identifiers 1

IdentifierTypeStateIssuer
041869104MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000745 TX Practitioner - Obstetrics/GynecologyPractitioner - General Practice 9931092327 Reassigns benefits to 5 organizations
Practice locations: Austin, TX; Manor, TX; Lockhart, TX; Bastrop, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2434TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin CurrentSince Jun 1, 2018 Accepting new patients
BSZ Medical, P.a. Single Specialty CurrentSince Sep 7, 2022 Accepting new patients
Seton Family of Doctors Single Specialty CurrentSince Feb 1, 2019 Accepting new patients
University of Texas at Austin Dell Medical School Single Specialty Current Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Jun 1, 2018 Accepting new patients
Westover Hills Women'S Health PA Single Specialty CurrentSince May 1, 2023 Accepting new patients
Obhg Texas Holdings, P.a. Single Specialty CurrentSince Aug 31, 2020 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2019 Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients
Family Healthcare Associates Single Specialty Past Accepting new patients
Joan L Bergstrom, MD PA Single Specialty Past Accepting new patients
Jeff E Hagen MD Single Specialty PastSince Sep 7, 2011 Accepting new patients
St. David'S Healthcare Partnership, L.P., LLP Past Accepting new patients
Jeff E. Hagen, M.D. Single Specialty PastSince Sep 7, 2011 Accepting new patients

Locations

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1746 W Goodwin St
Pleasanton, TX 78064
Phone (830) 268-5040

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

7430 Barlite Blvd
Ste 105
San Antonio, TX 78224
Phone (210) 568-1949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2385/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PA 176 clinicians

Practice addresses (Care Compare)

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (800) 967-2289

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1710965488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 71 W",
            "address_2": "SUITE 111",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024105",
            "telephone_number": "512-304-0318",
            "fax_number": "512-308-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 71 W",
            "address_2": "SUITE 111",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024105",
            "telephone_number": "512-304-0318",
            "fax_number": "512-308-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "JEFF",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G3424",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G2434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041869104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.