Active NPI
Thomas Nicholas Tracey, M.D.
- Interventional Cardiology Physician
- Austin, TX
National Provider Identifier
1780669499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- G3861
- Practice address
- 4316 James Casey St
Building C
Austin, TX 78745-1157 - Phone
- (512) 623-5300
- Fax
- (512) 623-5399
- NPI assigned
- Dec 14, 2005
- Last updated
- Jun 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | G3861 | TX | Primary |
Addresses
Primary practice location
4316 James Casey St
Building C
Austin, TX 78745-1157
Mailing address
PO Box 1509
San Antonio, TX 78295-1509
Phone (512) 623-5300
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131767908 | Medicaid | TX | |
| P00706407 | Other | MEDICARE RAILROAD | |
| 060020153 | Other | TX | MEDICARE RAILROAD |
| 131767907 | Medicaid | TX | |
| 131767902 | Medicaid | TX | |
| 8BX079 | Other | TX | BCBSTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G3861 | TX | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Cardiovascular Consultants, P.a. | Interventional Cardiology | Past | Accepting new patients |
| Texas Cardiovascular Consultants, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- West Lake Hills, TX
- NPI 1427299825
Interventional Cardiology
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1932354479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1780669499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1509",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782951509",
"telephone_number": "512-623-5300",
"fax_number": "512-623-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 JAMES CASEY ST",
"address_2": "BUILDING C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451157",
"telephone_number": "512-623-5300",
"fax_number": "512-623-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACEY",
"first_name": "THOMAS",
"middle_name": "NICHOLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "G3861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131767908",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00706407",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "060020153",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131767907",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131767902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8BX079",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.