Individual provider Active NPI

Paola A Rosa, D.O.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1780941609
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
U2999 Issued in TX
Practice address
11111 Research Blvd Ste 475
Austin, TX 78759-5283
Phone
(512) 338-8181
Fax
(512) 406-7348
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X U2999 TX Primary

Addresses

Primary practice location

11111 Research Blvd Ste 475
Austin, TX 78759-5283

Mailing address

6210 E US 290
Austin, TX 78723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20200701002610 CA Practitioner - Obstetrics/Gynecology 5890128789 Reassigns benefits to 1 organization
I20230724002347 TX Practitioner - Obstetrics/Gynecology 5890128789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

11111 Research Blvd
Suite 475
Austin, TX 78759-5283
Phone (512) 338-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
U2999TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Jun 1, 2020 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 1, 2020 Accepting new patients
Austin Regional Clinic, PA CurrentSince Jun 6, 2023 Accepting new patients
Austin Regional Clinic, PA Obstetrics & Gynecology CurrentSince Jun 6, 2023 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Austin, TX 78723

11111 Research Blvd
Ste 475
Austin, TX 78759
Phone (512) 338-8181

1401 Medical Pkwy
Ste 220
Cedar Park, TX 78613
Phone (512) 260-1581

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: prosa28236@arcmd.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1780941609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E US 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD STE 475",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595283",
            "telephone_number": "512-338-8181",
            "fax_number": "512-406-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "PAOLA",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "U2999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.