Individual provider Active NPI

Erin M Rehberg, P.A.-C.

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1780691030
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04695 Issued in TX
Practice address
12201 Renfert Way
Suite 100
Austin, TX 78758-5354
Phone
(512) 443-9355
Fax
(512) 443-3206
NPI assigned
Aug 1, 2006
Last updated
Oct 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04695 TX Primary

Addresses

Primary practice location

12201 Renfert Way
Suite 100
Austin, TX 78758-5354

Mailing address

3721 Galena Hills Loop
Round Rock, TX 78681-1035
Phone (512) 740-5174

Other identifiers 2

IdentifierTypeStateIssuer
1659349009OtherTXAEC GROUP NPI
8Y0263OtherTXBLUE CROSS PROVIDER NUMBE

Other names 1

  • Erin M Tindall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000287 TX Practitioner - Physician Assistant 7911904511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Specialists of Austin, P.a. Past Accepting new patients
Noble Anesthesia Partners, PLLC PastSince Jun 29, 2022 Accepting new patients
Medspring of Texas, PA Past Accepting new patients
Austin Otology Associates PA PastSince Oct 1, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erehberg@georgetown-ent.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1780691030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 GALENA HILLS LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811035",
            "telephone_number": "512-740-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-443-9355",
            "fax_number": "512-443-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHBERG",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AEC GROUP NPI",
            "identifier": "1659349009",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "8Y0263",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "TINDALL",
            "middle_name": "M",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.