Individual provider Active NPI

Rafaella Cleto Penteado, MD

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1780213298
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
V8601 Issued in TX
Practice address
3410 Far West Blvd Ste 140
Austin, TX 78731-3167
Phone
(512) 427-1100
Fax
(512) 427-1207
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 V8601 TX Primary

Addresses

Primary practice location

3410 Far West Blvd Ste 140
Austin, TX 78731-3167

Mailing address

3410 Far West Blvd Ste 140
Austin, TX 78731-3167
Phone (512) 427-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcletopenteado698456@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240822001304 UT Practitioner - Ophthalmology 4587103528 Reassigns benefits to 2 organizations
I20250825000290 TX Practitioner - Ophthalmology 4587103528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Austin PLLCGroup PAC ID 1951558121, 4 clinicians

Practice addresses (Care Compare)

3410 Far W Blvd
Suite 140
Austin, TX 78731-3167
Phone (512) 427-1100

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
V8601TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Services CurrentSince Jul 15, 2024 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
Eye Clinic of Austin PLLC Ophthalmology CurrentSince Sep 1, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Jul 15, 2024 Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 15, 2024 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Jul 15, 2024 Accepting new patients
Eye Clinic of Austin PLLC Thomas Henderson Sole MBR Ophthalmology Past Accepting new patients

Locations

3410 Far West Blvd
Austin, TX 78731
Phone (512) 427-1100

3410 Far West Blvd
Ste 140
Austin, TX 78731
Phone (512) 427-1100

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1780213298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313167",
            "telephone_number": "512-427-1100",
            "fax_number": "512-427-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313167",
            "telephone_number": "512-427-1100",
            "fax_number": "512-427-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTEADO",
        "first_name": "RAFAELLA",
        "middle_name": "CLETO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "V8601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcletopenteado698456@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.