Individual provider Active NPI

Venessa Pena-Robichaux, M.D.

  • Dermatology Physician
  • Buda, TX
National Provider Identifier
1851611164
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P9439 Issued in TX
Practice address
211B N FM 1626
Suite 1a
Buda, TX 78610
Phone
(737) 717-3244
Fax
(512) 318-2537
NPI assigned
Jun 9, 2010
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P9439 TX Primary

Addresses

Primary practice location

211B N FM 1626
Suite 1a
Buda, TX 78610

Mailing address

211B N FM 1626
Suite 1a
Buda, TX 78610
Phone (737) 717-3244

Other identifiers 2

IdentifierTypeStateIssuer
335728701MedicaidTX
351454YZ4UOtherTXMEDICARE PTAN

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
I20140703001685 TX Practitioner - Dermatology 2567695703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Central Texas Community Health CentersGroup PAC ID 5395802151, shared by 33 NPIs, 165 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

2901 Montopolis Dr
Austin, TX 78741-6411
Phone (512) 978-9955

313 E 12TH St
Austin, TX 78701-1955
Phone (512) 324-9650

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jun 14, 2019 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Southwest Skin & Cancer Clinic, P.a. Dermatology CurrentSince Jul 20, 2017 Accepting new patients
Seton Family of Doctors CurrentSince Jun 14, 2019 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

4419 Frontier Trl
Ste 110
Austin, TX 78745
Phone (512) 654-8100

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: venessa.pena-robichaux.1@8363.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1851611164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211B N FM 1626",
            "address_2": "SUITE 1A",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "78610",
            "telephone_number": "737-717-3244",
            "fax_number": "512-318-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211B N FM 1626",
            "address_2": "SUITE 1A",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "78610",
            "telephone_number": "737-717-3244",
            "fax_number": "512-318-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-ROBICHAUX",
        "first_name": "VENESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P9439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335728701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "351454YZ4U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

Verify at the official NPI Registry.