Active NPI
Anne Weatherly Mahan, MD
- Pediatrics Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N8684
- Practice address
- 5339 N Ih 35 Ste 100
Austin, TX 78723-2558 - Phone
- (512) 628-1898
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | N8684 | TX | |
| Pediatrics Physician | 208000000X | N8684 | TX | Primary |
Addresses
Primary practice location
5339 N Ih 35 Ste 100
Austin, TX 78723-2558
Mailing address
5339 N Ih 35 Ste 100
Austin, TX 78723-2558
Phone (512) 628-1898
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Texas Medical School at Houston, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Barbara Jordan Blvd
Austin, TX 78723-3078
7506 Pineleaf PL
Austin, TX 78757-1763
Phone (512) 628-1898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8684 | TX | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Critical Care Associates | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Seton Oral & Maxillofacial Surgery | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Pediatrics | Current | Accepting new patients |
Locations
7506 Pineleaf Pl
Austin, TX 78757
Phone (512) 324-3315
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800
Interoperability endpoints
- anne.mahan.1@8363.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
- Pediatric Critical Care Medicine Physician
- Austin, TX
- NPI 1962414334
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Austin, TX
- NPI 1124598917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1790989366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5339 N IH 35 STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232558",
"telephone_number": "512-628-1898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5339 N IH 35 STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232558",
"telephone_number": "512-628-1898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAN",
"first_name": "ANNE",
"middle_name": "WEATHERLY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "N8684",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N8684",
"primary": true
}
],
"identifiers": [],
"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 Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.