Individual provider Active NPI

Sami Mohamad Aboumatar, M.D.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1760445407
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L6748 Issued in TX
Practice address
2200 Park Bend Dr
BLDG 2 Ste 203
Austin, TX 78758-5387
Phone
(512) 339-8831
Fax
(512) 339-8841
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L6748 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr
BLDG 2 Ste 203
Austin, TX 78758-5387

Mailing address

2200 Park Bend Dr
BLDG 2 Ste 203
Austin, TX 78758-5387
Phone (512) 339-8831

Other identifiers 2

IdentifierTypeStateIssuer
L6745OtherTXSTATE LICENSE NUMBER
1729519MedicaidTX

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
I20031217000716 TX Practitioner - Neurology 0648177675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2200 Park Bend Dr
BLDG 2 203
Austin, TX 78758-5592
Phone (512) 339-8831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000822NYMDPsychoanalyst
0008221NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Epilepsy Care Center Neurology CurrentSince May 16, 2003 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

12201 Renfert Way
Ste 240
Austin, TX 78758
Phone (512) 339-8831

2200 Park Bend Dr
Bldg 2-203
Austin, TX 78758
Phone (512) 339-8831

2200 Park Bend Dr
Ste 203
Austin, TX 78758
Phone (512) 339-8831

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FECAAA/Endpoint/FECAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FECAAA

Organizations & group practices 2

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1760445407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 2 STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-339-8831",
            "fax_number": "512-339-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 2 STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-339-8831",
            "fax_number": "512-339-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUMATAR",
        "first_name": "SAMI",
        "middle_name": "MOHAMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L6748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "L6745",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1729519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.