Karen Justiniano, D.O.
Individual provider Active NPI Family Medicine Physician · Kyle, TX
NPI 1780124040 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1780124040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- U4538 (TX)
- Practice address
- 4036 Cromwell Dr
Kyle, TX 78640-6645 - Phone
- (512) 654-4600
- Fax
- (512) 654-4601
- NPI assigned
- Mar 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scott and White Clinic
Practice addresses (Care Compare)
11209 S Interstate Hwy 35
Baylor Scott and White Clinic Onion
Austin, TX 78747-1712
Phone (512) 654-4700
16018 W Hwy 71 Pass
Baylor Scott and White Clinic Bee Cave
Bee Cave, TX 78738-7115
Phone (512) 654-3900
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
5000 W Slaughter LN 100 BLDG
6 Baylor Scott and White Clinic Austi
Austin, TX 78749-4015
Phone (512) 291-8002
5330 Overpass Rd
Buda, TX 78610-2300
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Ascension at Home
- Baylor Scott & White Medical Center - Buda
- Baylor Scott & White Medical Center - Round Rock
- Baylor Scott & White Medical Center- Austin
- Baylor Scott & White Institute for Rehabilitation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230719004255 | TX | Practitioner - Family Practice | 7214347889 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64876 | CT | MD | Family Medicine Physician |
| U4538 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Family Medicine | Current |
Accepting new patients |
| Scott & White Clinic | Family Medicine | Current |
Accepting new patients |
| Scott & White Clinic | Family Medicine | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
4036 Cromwell Dr
Kyle, TX 78640
Phone (512) 654-4600
1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 64876 | CT | |
| Family Medicine Physician | 207Q00000X | U4538 | TX | Yes |
Addresses
Primary practice location
4036 Cromwell Dr
Kyle, TX 78640-6645
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
69 East Ave
Norwalk, CT 06851-4904
Phone (203) 276-7870
Other practice location 2
169 Riverside Dr
Our Lady of Lourdes Memorial Hospital, Inc.
Binghamton, NY 13905-4246
Phone (607) 798-5897
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjustiniano1221755@direct.sw.org | Direct |
Other providers in Kyle, TX
- Dustin Robert Jones
- Jadeyn Jones
- Cilly Jordan
- Fehren Brandi Juarez
- Jonathan Julia
- Kanakadurga Govindaraju, MD, PLLC
- Eleni Kapasaki
- Mary Claire Kaufman
- Eleanor Kaura
- Katherine Joy Kaut
All providers in Kyle, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.