Individual provider Active NPI

Danielle Olivelra Dumestre, MD

  • Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1790270510
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
T5103 Issued in TX
Practice address
2905 San Gabriel St Ste 100
Austin, TX 78705-3548
Phone
(512) 815-0123
Fax
(512) 861-6206
NPI assigned
Jun 25, 2018
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X T5103 TX Primary
Plastic and Reconstructive Surgery Physician 2086S0122X T5103 TX

Addresses

Primary practice location

2905 San Gabriel St Ste 100
Austin, TX 78705-3548

Mailing address

2905 San Gabriel St Ste 100
Austin, TX 78705-3548
Phone (512) 815-0123

Other practice location 1

7004 Bee Caves Rd Ste 2-100
West Lake Hills, TX 78746-5086
Phone (512) 642-5050

Other practice location 2

7700 Cat Hollow Dr Ste 204A
Round Rock, TX 78681-5799
Phone (512) 642-5050

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001572 TX Practitioner - Plastic and Reconstructive Surgery 7719374891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aesthetic and Reconstructive Therapeutics PLLCGroup PAC ID 5991091340, 6 clinicians

Practice addresses (Care Compare)

2905 San Gabriel St
Suite 100
Austin, TX 78705-3548
Phone (512) 815-0123

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic and Reconstructive Therapeutics PLLC Plastic Surgery CurrentSince May 1, 2022 Accepting new patients

Locations

1101 W 34th St
Austin, TX 78705
Phone (512) 641-4020

2905 San Gabriel St
Ste 100
Austin, TX 78705
Phone (512) 815-0123

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1790270510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 SAN GABRIEL ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053548",
            "telephone_number": "512-815-0123",
            "fax_number": "512-861-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SAN GABRIEL ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053548",
            "telephone_number": "512-815-0123",
            "fax_number": "512-861-6206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7004 Bee Caves Rd Ste 2-100",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465086",
            "country_code": "US",
            "telephone_number": "512-642-5050",
            "fax_number": "512-642-8186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 Cat Hollow Dr Ste 204A",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786815799",
            "country_code": "US",
            "telephone_number": "512-642-5050",
            "fax_number": "512-642-8186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMESTRE",
        "first_name": "DANIELLE",
        "middle_name": "OLIVELRA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "T5103",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "T5103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.