Individual provider Active NPI

Jessica Elizabeth Macleod, M.D.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1740498492
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M9512 Issued in TX
Practice address
12201 Renfert Way
Ste 225
Austin, TX 78758-5354
Phone
(512) 339-6626
Fax
(512) 425-3809
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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 M9512 TX Primary

Addresses

Primary practice location

12201 Renfert Way
Ste 225
Austin, TX 78758-5354

Mailing address

12201 Renfert Way
Ste 225
Austin, TX 78758-5354
Phone (512) 339-6626

Other identifiers 1

IdentifierTypeStateIssuer
195896902MedicaidTX

Other names 1

  • Jessica Macleod Montalvo Former name

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
I20080822000229 TX Practitioner - Obstetrics/Gynecology 5496820664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Specialized Womens Services PLLCGroup PAC ID 1254478951, 26 clinicians
St. Davids OB and GYN Services, PLLCGroup PAC ID 5395241335, 21 clinicians

Practice addresses (Care Compare)

12200 Renfert Way
Suite G3
Austin, TX 78758-5654
Phone (512) 821-2540

12201 Renfert Way
Austin, TX 78758-5368

12201 Renfert Way
Suite 225
Austin, TX 78758-5369
Phone (512) 339-6626

3101 Hwy 71 E
Suite 107
Bastrop, TX 78602-5159
Phone (512) 339-6626

800 Central Texas Expressway
250 North Austin Maternal Fetal Medicine
Harker Heights Expy, TX 76548-3200
Phone (512) 821-2540

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Specialized Women'S Services, PLLC CurrentSince Feb 1, 2023 Accepting new patients
St. Davids OB and GYN Services, PLLC Obstetrics & Gynecology CurrentSince Nov 1, 2025 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients
Methodist Physician Practices, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12201 Renfert Way
Ste 215
Austin, TX 78758

12201 Renfert Way
Ste 225
Austin, TX 78758
Phone (303) 873-5245

12200 Renfert Way
Ste G-3
Austin, TX 78758

3101 Highway 71 E
Ste 107
Bastrop, TX 78602

Interoperability endpoints

  • Direct secure messaging: jessica.macleod@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 1517-macleod-jessica@direct.leadingreach.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1740498492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-339-6626",
            "fax_number": "512-425-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-339-6626",
            "fax_number": "512-425-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M9512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195896902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MONTALVO",
            "middle_name": "MACLEOD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.