NPIMap

Organization Active NPI

Austin Kidney Associates, P. a.

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1801317904
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AUSTIN KIDNEY ASSOCIATES, P. A.
Practice address
8620 Burnet Rd Ste 400
Austin, TX 78757-7034
Phone
(512) 334-1810
NPI assigned
Jun 29, 2017
Last updated
May 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Divya Diwan
Title
Sr. Director of Operations
Phone
(512) 458-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

8620 Burnet Rd Ste 400
Austin, TX 78757-7034

Mailing address

300 E Highland Mall Blvd Ste 1a
Austin, TX 78752-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180503001421 TX Part B Supplier - Ambulatory Surgical Center 1658511217 Practice locations: Austin, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Austin Kidney Associates Dba Austin Access CareCCN 45C0001655
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2146770Austin Kidney Associates PA D/B/a Austin8620 Burnet Road, Suite 400, Austin, TX 78757Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Austin Access Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

321 W Ben White Blvd
Ste 205
Austin, TX 78704
Phone (512) 451-5800

8620 Burnet Rd
Ste 400
Austin, TX 78757
Phone (512) 334-1810

441 Highway 71 W
Ste H
Bastrop, TX 78602
Phone (512) 304-0338

1720 E Whitestone Blvd
Ste A2
Cedar Park, TX 78613
Phone (512) 528-8478

3201 S Austin Ave
Ste 325
Georgetown, TX 78626
Phone (512) 717-5077

301 Seton Pkwy
Ste 401
Round Rock, TX 78665
Phone (512) 324-4813

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1801317904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HIGHLAND MALL BLVD STE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 BURNET RD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577034",
            "telephone_number": "512-334-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN KIDNEY ASSOCIATES, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "DIWAN",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "SR. DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "512-458-5800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "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 May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.