NPIMap

Organization Active NPI

Family Medicine Center of Austin, P.a.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1780009522
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE CENTER OF AUSTIN, P.A.
Practice address
6633 US 290 Frontage Road
Suite 300
Austin, TX 78723
Phone
(512) 729-5974
Fax
(512) 637-4991
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Micela Richardson
Title
Director
Phone
(281) 433-7695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6633 US 290 Frontage Road
Suite 300
Austin, TX 78723

Mailing address

PO Box 411779
Kansas City, MO 64141-1779
Phone (512) 729-5974

Other names 1

  • Family Medicine Austin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221230001031 TX Part B Supplier - Clinic/Group Practice 3476786260 Receives reassigned benefits from 14 practitioners
Practice locations: Austin, TX; Leander, TX

National Provider Directory

National Provider Directory

Locations

1106 Clayton Ln
Ste 102W
Austin, TX 78723
Phone (512) 453-7356

6633 E Highway 290
Ste 300
Austin, TX 78723
Phone (512) 327-9494

2701 S Highway 183
Leander, TX 78641

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1780009522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411779",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641411779",
            "telephone_number": "512-729-5974",
            "fax_number": "512-637-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 US 290 FRONTAGE ROAD",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-729-5974",
            "fax_number": "512-637-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CENTER OF AUSTIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MICELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-433-7695"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 2022; 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.