Organization Active NPI

Simona Scumpia MD PA

Doing business as Austin Thyroid & Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Austin, TX
National Provider Identifier
1851424634
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
H3521 Issued in TX
Legal business name
SIMONA SCUMPIA MD PA
Doing business as
Austin Thyroid & Endocrinology
Practice address
2200 Park Bend Dr
BLDG 3-300
Austin, TX 78758-5387
Phone
(512) 467-2727
Fax
(512) 873-7576
NPI assigned
Mar 13, 2007
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. Simona Scumpia, M.D.NPI 1689778946
Title
Medical Director
Phone
(512) 467-2727

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X H3521 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr
BLDG 3-300
Austin, TX 78758-5387

Mailing address

2200 Park Bend Dr
BLDG 3-300
Austin, TX 78758-5387
Phone (512) 467-2727

Other identifiers 1

IdentifierTypeStateIssuer
0018PLOtherTXBCBS

Other names 1

  • Austin Thyroid & Endocrinology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426000647 TX Part B Supplier - Clinic/Group Practice 7416996822 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

12201 Renfert Way
Ste 320
Austin, TX 78758
Phone (512) 833-0140

2200 Park Bend Dr
Bldg 3-300
Austin, TX 78758
Phone (512) 467-2727

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1851424634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 3-300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-467-2727",
            "fax_number": "512-873-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 3-300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-467-2727",
            "fax_number": "512-873-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONA SCUMPIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "SCUMPIA",
        "authorized_official_first_name": "SIMONA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-467-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "H3521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0018PL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Thyroid & Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.