Individual provider Active NPI

Andy Leston Hawthorne, M.D.

  • Surgery Physician
  • Round Rock, TX
National Provider Identifier
1801919881
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M2640 Issued in TX
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

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
192955601MedicaidTX
9608066OtherTXAETNA
8AK836OtherTXBCBS

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000401 TX Practitioner - General Surgery 0547346991 Reassigns benefits to 1 organization

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
Central Texas Surgical AssociatesGroup PAC ID 3476639238, 10 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2640TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Surgical Associates CurrentSince Oct 1, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.