Organization Active NPI

Allergy & Immunology Medical Center LLC

  • Allergy & Immunology Physician
  • West Lake Hills, TX
National Provider Identifier
1770878951
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & IMMUNOLOGY MEDICAL CENTER LLC
Practice address
102 Westlake Dr Ste 104
West Lake Hills, TX 78746-5373
Phone
(512) 454-5911
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Ojas PatelNPI 1205973583
Title
President
Phone
(512) 454-5911

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
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

102 Westlake Dr Ste 104
West Lake Hills, TX 78746-5373

Mailing address

102 Westlake Dr Ste 104
West Lake Hills, TX 78746-5373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110901000746 TX Part B Supplier - Clinic/Group Practice 3678743598 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

248 Addie Roy Rd
Ste B201
Austin, TX 78746
Phone (512) 329-5800

1115 Kinwest Pkwy
Ste 100
Irving, TX 75063
Phone (972) 401-0545

102 Westlake Dr
Ste 104
West Lake Hills, TX 78746
Phone (512) 329-5800

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1770878951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WESTLAKE DR STE 104",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESTLAKE DR STE 104",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465373",
            "telephone_number": "512-454-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & IMMUNOLOGY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "OJAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-454-5911"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.