Individual provider Active NPI

Alexandra Gustafson Horton, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1811510076
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10070656 Issued in TX
Practice address
1500 Red River St
Austin, TX 78701-1918
Phone
(512) 324-7000
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10070656 TX Primary

Addresses

Primary practice location

1500 Red River St
Austin, TX 78701-1918

Mailing address

1500 Red River St
Austin, TX 78701-1918

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
I20231021000043 TX Practitioner - Internal Medicine 1254787682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Emergency Physicians PAGroup PAC ID 1153414503, 79 clinicians

Practice addresses (Care Compare)

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (865) 560-8423

Hospital & facility affiliations

  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
18.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10070656TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Hendrick Medical Center Brownwood Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

Organizations & group practices 2

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1811510076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RED RIVER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RED RIVER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011918",
            "telephone_number": "512-324-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "ALEXANDRA",
        "middle_name": "GUSTAFSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10070656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.