Organization Active NPI

Austin Regional Clinic, PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1821157579
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AUSTIN REGIONAL CLINIC, PA
Practice address
6210 E US Hwy 290
Suite 420 - Credentialing
Austin, TX 78723-1098
Phone
(512) 231-5516
Fax
(512) 406-6216
NPI assigned
Dec 8, 2006
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Anas Daghestani, MDNPI 1366458630
Title
Ceo/President
Phone
(512) 419-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Anatomic Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0101X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

6210 E US Hwy 290
Suite 420 - Credentialing
Austin, TX 78723-1098

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000198 TX Part B Supplier - Clinic/Group Practice 3072507789 Receives reassigned benefits from 488 practitioners

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations (25 of 35)

6161 Woodhaven Blvd
Ste 1N
Rego Park, NY 11374
Phone (718) 424-8900

11111 Research Blvd
Austin, TX 78759
Phone (512) 324-1285

11111 Research Blvd
Ste 475
Austin, TX 78759
Phone (512) 338-8181

11714 Wilson Parke Ave
Austin, TX 78726
Phone (737) 247-7200

12100 Park Thirty Five Cir
Bldg F
Austin, TX 78753

1301 W 38th St
Ste 201
Austin, TX 78705
Phone (512) 451-0161

3708 Jefferson St
Ste 103
Austin, TX 78731
Phone (512) 452-2244

4515 Seton Center Pkwy
Austin, TX 78759
Phone (413) 281-4631

4515 Seton Center Pkwy
Ste 215
Austin, TX 78759
Phone (512) 338-3802

6937 N Interstate 35
Ste 200
Austin, TX 78752
Phone (512) 407-8686

6937 N Interstate 35
Ste 500
Austin, TX 78752

8204 Brodie Ln
Ste 101
Austin, TX 78745
Phone (512) 250-5571

622 W State Highway 71
Bastrop, TX 78602

15801 W Highway 71
Bldg 1
Bee Cave, TX 78738
Phone (512) 676-2500

15801 W State Highway 71
Ste 100
Bee Cave, TX 78738
Phone (512) 676-2500

95 E Price Rd
Bldg E
Brownsville, TX 78521
Phone (956) 504-4800

3420 FM 967
Ste B100
Buda, TX 78610
Phone (512) 295-1608

1401 Medical Pkwy
Ste 211
Cedar Park, TX 78613
Phone (512) 260-1581

715 Discovery Blvd
Ste 117
Cedar Park, TX 78613
Phone (512) 528-2300

801 E Whitestone Blvd
#D
Cedar Park, TX 78613
Phone (512) 259-3467

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

22420 I 35
Ste 203
Kyle, TX 78640
Phone (737) 404-0347

22420 Interstate 35
Kyle, TX 78640

4100 Everett
Ste 205
Kyle, TX 78640

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Accentcare Hospice & Palliative Care - AustinAustin, TX, CCN 671554 Hospice 5% Or Greater Indirect Ownership Interest Feb 29, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 510

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 510

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1821157579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 E US HWY 290",
            "address_2": "SUITE 420 - CREDENTIALING",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231098",
            "telephone_number": "512-231-5516",
            "fax_number": "512-406-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN REGIONAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "DAGHESTANI",
        "authorized_official_first_name": "ANAS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "512-419-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.