Rahel Berhane, MD
Individual provider Active NPI Pediatrics Physician · Austin, TX
NPI 1740246743 · NPPES record last updated Apr 5, 2013
Key facts
- NPI
- 1740246743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- K1363 (TX)
- Practice address
- 7020 Easy Wind Dr Ste 130
Suite #400
Austin, TX 78752-2361 - Phone
- (512) 628-1898
- Fax
- (512) 600-8149
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dell Childrens Medical Group
Practice addresses (Care Compare)
1301 Barbara Jordan Blvd
Austin, TX 78723-3078
7506 Pineleaf PL
Austin, TX 78757-1763
Phone (512) 628-1898
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070821000312 | TX | Practitioner - Pediatric Medicine |
6204877640 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1363 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Pediatrics | Current |
Accepting new patients |
| Dell Children'S Medical Group | Current |
Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
7020 Easy Wind Dr
Ste 130
Austin, TX 78752
Phone (512) 377-2323
1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800
Interoperability endpoints
- rahel.berhane.1@8363.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | K1363 | TX | |
| Pediatrics Physician | 208000000X | K1363 | TX | Yes |
Addresses
Primary practice location
7020 Easy Wind Dr Ste 130
Suite #400
Austin, TX 78752-2361
Mailing address
1301 Barbara Jordan Blvd
Suite #200
Austin, TX 78723-3077
Phone (512) 628-1898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144469701 | Medicaid | TX |
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.