Individual provider Active NPI

Jeffrey Park Wood, M.D.

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1811289812
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R3009 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
May 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A139799 CA
Diagnostic Radiology Physician 2085R0202X R3009 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

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
I20170602000357 TX Practitioner - Diagnostic Radiology 6002050374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of New Mexico School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

10604 Pluchea CV
Austin, TX 78733-5721
Phone (512) 795-5100

11714 Wilson Parke Ave
175 Austin Radiological Association Wilson
Austin, TX 78726-0002
Phone (512) 519-3457

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

12700 Lexington St
Unit 300
Manor, TX 78653-2012
Phone (512) 776-1158

12800 W Parmer Lane
Suite 200
Cedar Park, TX 78613-7721
Phone (512) 485-7199

1301 W 38TH St
Suite 118
Austin, TX 78705-1010
Phone (512) 454-7380

1348 N Hwy 123
Suite B
San Marcos, TX 78666-7848
Phone (512) 392-1831

1500 Red River St
Austin, TX 78701-1918
Phone (512) 795-5100

1601 Trinity St
HTB
Austin, TX 78712-1765
Phone (512) 795-5100

170 Benney LN
Suite 101
Dripping Springs, TX 78620-5566
Phone (512) 776-1176

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 930-5338

3201 S Water St
Burnet, TX 78611-4510
Phone (512) 795-5100

4207 Burnet Rd
Austin, TX 78756-3316
Phone (512) 795-5100

4211 Benner
Suite 100
Kyle, TX 78640-2140
Phone (512) 776-1150

4515 Seton Ctr Pkwy
Suite 105
Austin, TX 78759-5268
Phone (512) 519-3402

5625 Eiger Rd
165 Austin Radiological Association Village
Austin, TX 78735-8980
Phone (512) 519-3474

6818 Austin Ctr Blvd
Suite 101
Austin, TX 78731-3199
Phone (512) 795-8505

901 W 38TH St
Suite 100
Austin, TX 78705-1164
Phone (512) 795-5100

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139799CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miners Colfax Medical Center Current Accepting new patients
Mid Coast Health System CurrentSince Apr 30, 2021 Accepting new patients
Miners Colfax Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Austin Radiological Association CurrentSince Jul 3, 2017 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Mid Coast Health System CurrentSince Apr 30, 2021 Accepting new patients
University Health Services Past Accepting new patients

Locations (25 of 28)

203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

720 Avenue F N
Bay City, TX 77414
Phone (979) 245-6660

720 Avenue F N
Ste 2
Bay City, TX 77414
Phone (979) 244-9355

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

Organizations & group practices 8

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 5

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811289812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JEFFREY",
        "middle_name": "PARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A139799",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.