NPIMap

Individual provider Active NPI

Koushik K. Shaw, MD

  • Urology Physician
  • Austin, TX
National Provider Identifier
1811954423
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M0272 Issued in TX
Practice address
12319 N Mopac Expy
Suite 200
Austin, TX 78758-2414
Phone
(512) 694-8888
Fax
(512) 973-3036
NPI assigned
Apr 27, 2006
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M0272 TX Primary

Addresses

Primary practice location

12319 N Mopac Expy
Suite 200
Austin, TX 78758-2414

Mailing address

12319 N Mopac Expy
Suite 200
Austin, TX 78758-2414
Phone (512) 694-8888

Other identifiers 2

IdentifierTypeStateIssuer
P00196306OtherTXRRMCR
170313401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000574 TX Practitioner - Urology 8628033230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Urology Institute, PAGroup PAC ID 0446434419, 2 clinicians

Practice addresses (Care Compare)

12319 N Mopac Expwy
BLDG C Suite 200
Austin, TX 78758-2497
Phone (512) 973-8276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.38 of 100Reported as individual
Quality
74.15
Promoting interoperability
100
Improvement activities
40
Cost
90.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0272TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Urology Institute, PA CurrentSince Sep 30, 2010 Accepting new patients
Austin Urogynecology, PLLC Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

12319 N Mopac Expy
Ste 200
Austin, TX 78758
Phone (512) 694-8888

1401 Medical Pkwy
Ste C
Cedar Park, TX 78613
Phone (512) 259-1811

27600 Ranch Road 12
Bldg 1
Dripping Springs, TX 78620
Phone (512) 829-9118

940 W University Ave
Ste 101
Georgetown, TX 78626
Phone (512) 819-0264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16890/brand/1/csg/1/fhir/r4
  • Direct secure messaging: koushik.shaw.1@2946.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1811954423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582414",
            "telephone_number": "512-694-8888",
            "fax_number": "512-973-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582414",
            "telephone_number": "512-694-8888",
            "fax_number": "512-973-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KOUSHIK",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M0272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00196306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170313401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.