NPIMap

Individual provider Active NPI

David Vadala

  • Nephrology Physician
  • Austin, TX
National Provider Identifier
1740776897
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
U2348 Issued in TX
Practice address
4100 Duval Rd Ste 102
Austin, TX 78759-3550
Phone
(512) 451-5800
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X U2348 TX Primary

Addresses

Primary practice location

4100 Duval Rd Ste 102
Austin, TX 78759-3550

Mailing address

408 W 45TH St
Austin, TX 78751-3014
Phone (512) 451-5800

Other practice location 1

16010 Park Valley Dr Ste 100
Round Rock, TX 78681-3575
Phone (512) 320-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912003597 TX Practitioner - NephrologyPractitioner - Internal Medicine 1052661162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

1720 E Whitestone Blvd
Suite a 1
Cedar Park, TX 78613-7640
Phone (512) 451-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U2348TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates, P. a. CurrentSince Sep 27, 2023 Accepting new patients
Austin Kidney Associates PA Nephrology CurrentSince Sep 27, 2023 Accepting new patients
Austin Nephrology Associates, PA Nephrology CurrentSince Oct 1, 2023 Accepting new patients
Central Texas Kidney Associates Nephrology Past Accepting new patients

Locations

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

300 E Highland Mall Blvd
Ste 1A
Austin, TX 78752
Phone (512) 451-5800

4100 Duval Rd
Ste 102
Austin, TX 78759
Phone (512) 451-5800

408 W 45th St
Austin, TX 78751
Phone (512) 451-5800

15808 Ranch Road 620 N
Ste 100
Austin, TX 78717
Phone (512) 244-3554

1720 E Whitestone Blvd
Ste A1
Cedar Park, TX 78613
Phone (512) 451-5800

1720 E Whitestone Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 451-5800

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

Interoperability endpoints

  • Direct secure messaging: dvadala39574@direct.davitaphysiciansolutions.com

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 6

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1740776897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593550",
            "telephone_number": "512-451-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16010 Park Valley Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786813575",
            "country_code": "US",
            "telephone_number": "512-320-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADALA",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "U2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.