Active NPI
Ty Comer, PA-C
- Physician Assistant
- Austin, TX
National Provider Identifier
1831805209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16586
- Practice address
- 1106 Clayton LN Ste 102W
Austin, TX 78723-2433 - Phone
- (512) 872-6868
- Fax
- (877) 370-4267
- NPI assigned
- Jan 27, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA16586 | TX | |
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | PA16586 | TX | Primary |
Addresses
Primary practice location
1106 Clayton LN Ste 102W
Austin, TX 78723-2433
Mailing address
1106 Clayton LN Ste 102W
Austin, TX 78723-2433
Phone (512) 872-6868
Other practice location 1
2701 S Highway 183 Ste B
Leander, TX 78641-2366
Phone (512) 872-6868
Other practice location 2
1500 W 38th St Ste 20
Austin, TX 78731-6317
Phone (512) 872-6868
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16586 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohamed S Ahmed MD PA | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1780009522
-
- Psychiatry Physician
- Baytown, TX
- NPI 1427270503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1831805209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 CLAYTON LN STE 102W",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232433",
"telephone_number": "512-872-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 CLAYTON LN STE 102W",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232433",
"telephone_number": "512-872-6868",
"fax_number": "877-370-4267"
}
],
"practiceLocations": [
{
"address_1": "2701 S Highway 183 Ste B",
"address_purpose": "LOCATION",
"city": "Leander",
"state": "TX",
"postal_code": "786412366",
"country_code": "US",
"telephone_number": "512-872-6868",
"fax_number": "877-370-4267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 W 38th St Ste 20",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787316317",
"country_code": "US",
"telephone_number": "512-872-6868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMER",
"first_name": "TY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-27",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA16586",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA16586",
"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 May 20, 2025; 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.