Individual provider Active NPI

Arnold L Fenrich Jr., MD

  • Pediatric Cardiology Physician
  • Austin, TX
National Provider Identifier
1790736494
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
J2557 Issued in TX
Practice address
4314 Medical Pkwy
Suite 200
Austin, TX 78756-3334
Phone
(512) 454-1110
Fax
(512) 374-1354
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Pittsburgh School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dell Childrens Medical Group 117 clinicians

Practice addresses (Care Compare)

1301 Barbara Jordan Blvd
Austin, TX 78723-3078

4900 Mueller Blvd
Austin, TX 78723-3051
Phone (512) 324-0000

4910 Mueller Blvd
Ausitin, TX 78723-3079

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080904000635 TX Practitioner - Pediatric Medicine 7719998863 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2557TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Pediatric Cardiology CurrentSince Jul 1, 2008 Accepting new patients
Dell Children'S Medical Group CurrentSince Nov 15, 2024 Accepting new patients
Dell Children'S Medical Group Current Accepting new patients
Dell Children'S Medical Group CurrentSince Nov 15, 2024 Accepting new patients
Texas Children'S Physician Group Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

4314 Medical Pkwy
Ste 200
Austin, TX 78756

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

1301 Medical Pkwy
Ste 320
Cedar Park, TX 78613
Phone (512) 260-7867

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • Direct secure messaging: arnold.fenrichmd.p105@direct.mednax.nextgenshare.com
  • Direct secure messaging: arnold.fenrich.jr.1@8363.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X J2557 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

4314 Medical Pkwy
Suite 200
Austin, TX 78756-3334

Mailing address

4314 Medical Pkwy
Suite 200
Austin, TX 78756-3334
Phone (512) 454-1110

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1356479MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2010.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1790736494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 MEDICAL PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563334",
            "telephone_number": "512-454-1110",
            "fax_number": "512-374-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 MEDICAL PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563334",
            "telephone_number": "512-454-1110",
            "fax_number": "512-374-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENRICH",
        "first_name": "ARNOLD",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "J2557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.