Individual provider Active NPI

Todd E. Crump, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1740275437
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0110 Issued in TX
Practice address
7304 W Rim Dr
Austin, TX 78731-2043
Phone
(512) 588-2507
Fax
(506) 700-6425
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L0110 TX Primary

Addresses

Primary practice location

7304 W Rim Dr
Austin, TX 78731-2043

Mailing address

7304 W Rim Dr
Austin, TX 78731-2043
Phone (512) 658-8633

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
I20040614000896 TX Practitioner - Family Practice 6709860299 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0110TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Family Medicine CurrentSince Feb 6, 2017 Accepting new patients
Seton Family of Doctors CurrentSince Feb 6, 2017 Accepting new patients
Acs Primary Care Physicians Southwest, PA Family Medicine Past Accepting new patients
City of Austin Past Accepting new patients

Locations

3003 Bee Caves Rd
Austin, TX 78746
Phone (512) 314-3800

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

11671 Jollyville Rd
Ste 102
Austin, TX 78759
Phone (210) 463-4000

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1740275437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 W RIM DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312043",
            "telephone_number": "512-658-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 W RIM DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312043",
            "telephone_number": "512-588-2507",
            "fax_number": "506-700-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "TODD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.