Active NPI
Alyssa Delia
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1760170161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- BP10083859
- Practice address
- Dell Medical School at University of Texas, Gme Office
1501 Red River, 2ND Floor
Austin, TX 78712 - Phone
- (512) 495-5555
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10083859 | TX | Primary |
Addresses
Primary practice location
Dell Medical School at University of Texas, Gme Office
1501 Red River, 2ND Floor
Austin, TX 78712
Mailing address
Dell Medical School at University of Texas, Gme Office
1501 Red River, 2ND Floor
Austin, TX 78712
Phone (512) 495-5555
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240412001566 | TX | Order and Referring Only - Pediatric Medicine | 3173962974 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Creighton University School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1301 Barbara Jordan Blvd
Suite 200
Austin, TX 78723-3078
1345 Philomena St
Austin, TX 78723-3210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1760170161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DELL MEDICAL SCHOOL AT UNIVERSITY OF TEXAS, GME OFFICE",
"address_2": "1501 RED RIVER, 2ND FLOOR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78712",
"telephone_number": "512-495-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DELL MEDICAL SCHOOL AT UNIVERSITY OF TEXAS, GME OFFICE",
"address_2": "1501 RED RIVER, 2ND FLOOR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78712",
"telephone_number": "512-495-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIA",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10083859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.