Individual provider Active NPI

Megyn Leonor Busse, MD

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1770677908
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H5754 Issued in TX
Practice address
4700 Seton Center Parkway
Suite 150
Austin, TX 78759-5711
Phone
(512) 345-3595
Fax
(512) 345-7618
NPI assigned
Oct 3, 2006
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H5754 TX Primary

Addresses

Primary practice location

4700 Seton Center Parkway
Suite 150
Austin, TX 78759-5711

Mailing address

4700 Seton Center Parkway
Suite 150
Austin, TX 78759-5711
Phone (512) 345-3595

Other identifiers 1

IdentifierTypeStateIssuer
134442602MedicaidTX

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
I20120507000405 TX Practitioner - Ophthalmology 8325138969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 Seton Ctr Pkwy
Suite 150
Austin, TX 78759-5711
Phone (512) 345-3595

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5754TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Pediatric Ophthalmology and Strabismus PA Ophthalmology CurrentSince Feb 7, 2012 Accepting new patients

Locations

4700 Seton Center Pkwy
Ste 150
Austin, TX 78759
Phone (512) 345-3595

3713 Franklin Ave
Ste A
Waco, TX 76710

Interoperability endpoints

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1770677908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PARKWAY",
            "address_2": "SUITE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595711",
            "telephone_number": "512-345-3595",
            "fax_number": "512-345-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PARKWAY",
            "address_2": "SUITE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595711",
            "telephone_number": "512-345-3595",
            "fax_number": "512-345-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "MEGYN",
        "middle_name": "LEONOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H5754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134442602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.