Individual provider Active NPI

Kumar Sathianathan, M.D.

  • Internal Medicine Physician
  • Georgetown, TX
National Provider Identifier
1831144161
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8472 Issued in TX
Practice address
3613 Williams Dr
Ste 404
Georgetown, TX 78628-1377
Phone
(512) 930-4275
Fax
(512) 930-4093
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 K8472 TX Primary

Addresses

Primary practice location

3613 Williams Dr
Ste 404
Georgetown, TX 78628-1377

Mailing address

3613 Williams Dr
Ste 404
Georgetown, TX 78628-1377
Phone (512) 930-4275

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
I20100903000328 TX Practitioner - Internal Medicine 4587572938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3613 Williams Dr
Suite 404
Georgetown, TX 78628-1370
Phone (512) 930-4275

Hospital & facility affiliations

  • Bellcoa Home Health Service Inc Home health agency, Austin, TX, CCN 457871
  • Enhabit Home Health Home health agency, Georgetown, TX, CCN 679647
  • Vitalcaring Group Home health agency, Temple, TX, CCN 457159
  • St. David'S Healthcare at Home Home health agency, Austin, TX, CCN 679682
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8472TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Sathianathan, Mdpa Internal Medicine CurrentSince May 22, 2002 Accepting new patients
Tony Shallin, Mdpa Internal Medicine Current Accepting new patients

Locations

3613 Williams Dr
Ste 404
Georgetown, TX 78628
Phone (512) 930-4275

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 7

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831144161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR",
            "address_2": "STE 404",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281377",
            "telephone_number": "512-930-4275",
            "fax_number": "512-930-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR",
            "address_2": "STE 404",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281377",
            "telephone_number": "512-930-4275",
            "fax_number": "512-930-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHIANATHAN",
        "first_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.