Active NPI
Robert M Vezzetti, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- M5964
- Practice address
- 4900 Mueller Blvd
Emergency Department
Austin, TX 78723-3079 - Phone
- (512) 324-0150
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 0101232523 | VA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | M5964 | TX | Primary |
Addresses
Primary practice location
4900 Mueller Blvd
Emergency Department
Austin, TX 78723-3079
Mailing address
4900 Mueller Blvd
Emergency Department
Austin, TX 78723-3079
Phone (512) 324-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5875587 | Medicaid | VA |
Other names 1
- Dr. Robert M Vezzetti
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101232523 | VA | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nueces Emergency Medicine Associates PA | Pediatric Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Current | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients |
Locations
4900 Mueller Blvd
#2
Austin, TX 78723
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1215314364
Pediatric Emergency Medicine
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1639177942
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1821170622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233079",
"telephone_number": "512-324-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233079",
"telephone_number": "512-324-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEZZETTI",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "VA",
"license": "0101232523",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TX",
"license": "M5964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5875587",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "VEZZETTI",
"middle_name": "M",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.