Organization Active NPI

Austin Epilepsy Care Center

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1801825716
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L6748 Issued in TX
Legal business name
AUSTIN EPILEPSY CARE CENTER
Practice address
2200 Park Bend Dr
BLDG 2 Ste 203
Austin, TX 78758-5387
Phone
(512) 339-8831
Fax
(512) 339-8841
NPI assigned
Jul 2, 2006
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Sami M Aboumatar, MDNPI 1760445407
Title
Owner
Phone
(512) 339-8831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L6748 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr
BLDG 2 Ste 203
Austin, TX 78758-5387

Mailing address

2200 Park Bend Dr
BLDG 2 Ste 203
Austin, TX 78758-5387
Phone (512) 339-8831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000472 TX Part B Supplier - Clinic/Group Practice 1052218088 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX

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
45D2056373Austin Epilepsy Care Center2200 Park Bend Dr BLDG 2, Suite 203, Austin, TX 78758Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

2200 Park Bend Dr
Bldg 2-203
Austin, TX 78758
Phone (512) 339-8831

2200 Park Bend Dr
Ste 203
Austin, TX 78758
Phone (512) 339-8831

4316 James Casey St
#201
Austin, TX 78745
Phone (512) 339-8831

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FECAAA

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1801825716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 2 STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-339-8831",
            "fax_number": "512-339-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 2 STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-339-8831",
            "fax_number": "512-339-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN EPILEPSY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ABOUMATAR",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-339-8831",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L6748",
            "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 15, 2007; 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.