NPIMap

Organization Active NPI

Sandeep G. Mistry, MD, PA

  • Urology Physician
  • Round Rock, TX
National Provider Identifier
1760674253
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M0182 Issued in TX
Legal business name
SANDEEP G. MISTRY, MD, PA
Practice address
1000 Hesters Crossing
Ste 300
Round Rock, TX 78681
Phone
(512) 238-0762
Fax
(512) 341-7370
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Sandeep G Mistry, MDNPI 1104039916
Title
President
Phone
(512) 238-0762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X M0182 TX Primary

Addresses

Primary practice location

1000 Hesters Crossing
Ste 300
Round Rock, TX 78681

Mailing address

1000 Hesters Crossing
Ste 300
Round Rock, TX 78681
Phone (512) 238-0762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080222000464 TX Part B Supplier - Clinic/Group Practice 5092899559 Receives reassigned benefits from 12 practitioners
Practice locations: Round Rock, TX; Dripping Springs, TX; Austin, TX; Cedar Park, TX

National Provider Directory

National Provider Directory

Locations

6501 S Congress Ave
Ste 103
Austin, TX 78745

6501 S Congress Ave
Bldg 1103
Austin, TX 78745

6501 S Congress Ave
Ste 1103
Austin, TX 78745
Phone (512) 238-0762

3101 Highway 71 E
Ste 211
Bastrop, TX 78602
Phone (512) 321-0000

170 Benney Ln
Ste 202
Dripping Springs, TX 78620
Phone (512) 238-0762

970 Hesters Crossing Rd
Ste 101
Round Rock, TX 78681
Phone (512) 238-0762

970 Hesters Crossing Rd
Round Rock, TX 78681

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1760674253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HESTERS CROSSING",
            "address_2": "STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681",
            "telephone_number": "512-238-0762",
            "fax_number": "512-341-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HESTERS CROSSING",
            "address_2": "STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681",
            "telephone_number": "512-238-0762",
            "fax_number": "512-341-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEEP G. MISTRY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-238-0762",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "M0182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.