Active NPI
Andy Leston Hawthorne, M.D.
- Surgery Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M2640
- Practice address
- 7200 Wyoming SPGS
Ste 500
Round Rock, TX 78681-4303 - Phone
- (512) 244-0111
- Fax
- (512) 244-2479
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M2640 | TX | Primary |
Addresses
Primary practice location
7200 Wyoming SPGS
Ste 500
Round Rock, TX 78681-4303
Mailing address
7200 Wyoming SPGS
Ste 500
Round Rock, TX 78681-4303
Phone (512) 244-0111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192955601 | Medicaid | TX | |
| 9608066 | Other | TX | AETNA |
| 8AK836 | Other | TX | BCBS |
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
- General Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7200 Wyoming Springs Dr
Suite 500
Round Rock, TX 78681-4307
Phone (512) 244-0111
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2640 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Surgical Associates | Current | Accepting new patients |
Locations
200 Medical Pkwy
Ste 360
Lakeway, TX 78738
Phone (512) 459-1131
7200 Wyoming Springs Dr
Ste 500
Round Rock, TX 78681
Phone (512) 244-0111
Interoperability endpoints
- ahawthor@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Specialist
- Round Rock, TX
- NPI 1275654170
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1801919881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 WYOMING SPGS",
"address_2": "STE 500",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814303",
"telephone_number": "512-244-0111",
"fax_number": "512-244-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 WYOMING SPGS",
"address_2": "STE 500",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814303",
"telephone_number": "512-244-0111",
"fax_number": "512-244-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "ANDY",
"middle_name": "LESTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "M2640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192955601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9608066",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AK836",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.