NPIMap

Organization Active NPI

Republic Spine and Pain, P.a.

  • Interventional Pain Medicine Physician
  • Austin, TX
National Provider Identifier
1831410323
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
REPUBLIC SPINE AND PAIN, P.A.
Practice address
13617 Caldwell Dr Ste 100
Austin, TX 78750-2324
Phone
(512) 219-8787
Fax
(512) 219-8788
NPI assigned
Jun 18, 2010
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Dr. Clement Yeh, MDNPI 1275744435
Title
MD/President
Phone
(512) 219-8787

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

13617 Caldwell Dr Ste 100
Austin, TX 78750-2324

Mailing address

13617 Caldwell Dr Ste 100
Austin, TX 78750-2324
Phone (512) 219-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101028001398 TX Part B Supplier - Clinic/Group Practice 9335333863 Receives reassigned benefits from 23 practitioners
Practice locations: Austin, TX; Georgetown, TX; Leander, TX
O20180421000010 TX DME Supplier - Physician - Interventional Pain Management 9335333863 Practice locations: Austin, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2013840Republic Spine & Pain, PA13617 Caldwell Drive, Austin, TX 78750AccreditationJan 7, 2028

National Provider Directory

National Provider Directory

Locations

13617 Caldwell Dr
Austin, TX 78750
Phone (907) 980-6957

13617 Caldwell Dr
Ste 100
Austin, TX 78750
Phone (512) 219-8787

1623 Rivery Blvd
Georgetown, TX 78628
Phone (512) 219-8787

800 Crystal Falls Pkwy
Unit 5
Leander, TX 78641
Phone (512) 219-8787

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18125/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1831410323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13617 CALDWELL DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502324",
            "telephone_number": "512-219-8787",
            "fax_number": "512-219-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13617 CALDWELL DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502324",
            "telephone_number": "512-219-8787",
            "fax_number": "512-219-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPUBLIC SPINE AND PAIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "512-219-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.