Individual provider Active NPI

Genoveva Nicoleta Prisacaru, MD

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1740325133
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M5449 Issued in TX
Practice address
11615 Angus Rd Ste 108
Austin, TX 78759-4064
Phone
(512) 574-6041
Fax
(512) 442-2303
NPI assigned
Feb 21, 2007
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M5449 TX Primary

Addresses

Primary practice location

11615 Angus Rd Ste 108
Austin, TX 78759-4064

Mailing address

11564 Cedarcliffe Dr
Austin, TX 78750-3523
Phone (512) 442-2300

Other identifiers 2

IdentifierTypeStateIssuer
185720301MedicaidTX
185720302OtherTXCSHCN

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
I20070712000344 TX Practitioner - Obstetrics/Gynecology 7214037753

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11615 Angus Rd
Suite 108
Austin, TX 78759-4064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5449TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills Women's Health, PLLC Obstetrics & Gynecology CurrentSince Oct 1, 2012 Accepting new patients

Locations

11615 Angus Rd
Ste 108
Austin, TX 78759
Phone (512) 372-4400

4007 James Casey St
Ste A100
Austin, TX 78745
Phone (512) 442-2300

Interoperability endpoints

  • Direct secure messaging: genoveva.prisacaru.1@5762.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5762/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1740325133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11564 CEDARCLIFFE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503523",
            "telephone_number": "512-442-2300",
            "fax_number": "512-442-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594064",
            "telephone_number": "512-574-6041",
            "fax_number": "512-442-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISACARU",
        "first_name": "GENOVEVA",
        "middle_name": "NICOLETA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M5449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185720301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "185720302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.