Individual provider Active NPI

Mark S Ambler, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1851310965
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8605 Issued in TX
Practice address
1807 W Slaughter LN # 490
Austin, TX 78748-6237
Phone
(512) 282-8967
Fax
(512) 292-5144
NPI assigned
Jul 19, 2006
Last updated
Jul 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8605 TX Primary

Addresses

Primary practice location

1807 W Slaughter LN # 490
Austin, TX 78748-6237

Mailing address

PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686

Other identifiers 2

IdentifierTypeStateIssuer
042170303MedicaidTX
042170302MedicaidTX

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
I20080204000110 TX Practitioner - Family Practice 4789766445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

151 Exchange Blvd
500 Arc Hutto
Hutto, TX 78634-5381
Phone (512) 846-1244

1807 W Slaughter LN
490 Arc Southwest
Austin, TX 78748-6208
Phone (512) 282-8967

22420 Ih
35 Suite 203
Kyle, TX 78640-2656
Phone (737) 404-0347

27600 Ranch Rd
12 BLDG 1
Dripping Springs, TX 78620-5612
Phone (512) 829-9118

2785 E 7TH St
Austin Regional Clinic East 7TH
Austin, TX 78702-3907
Phone (737) 910-6700

3816 S 1St St
Austin, TX 78704-7048
Phone (512) 443-1311

3828 S 1St St
Arc South 1St
Austin, TX 78704-7048
Phone (512) 443-1311

4100 Everett
400 Arc Kyle
Kyle, TX 78640-6147
Phone (512) 295-1333

6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Aug 1, 2007 Accepting new patients
Austin Regional Clinic, PA Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Seton Hospitalist Service Past Accepting new patients
Primary Medicine Center LLC Family Medicine Past Accepting new patients
Austin Regional Clinic, PA Past Accepting new patients

Locations

1807 W Slaughter Ln
Ste 490
Austin, TX 78748
Phone (512) 282-8967

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: mambler4673@arcmd.direct-ci.com
  • Direct secure messaging: mark.ambler.1@12704.direct.athenahealth.com
  • Direct secure messaging: mark.ambler.1@16041.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1851310965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26726",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787550726",
            "telephone_number": "512-407-8686",
            "fax_number": "512-421-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W SLAUGHTER LN # 490",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486237",
            "telephone_number": "512-282-8967",
            "fax_number": "512-292-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBLER",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042170303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042170302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.