Individual provider Active NPI

Samuel Deliberato

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1851701213
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1735 Issued in TX
Practice address
5000 W Slaughter LN Ste 100
Austin, TX 78749-4015
Phone
(512) 654-4000
NPI assigned
May 6, 2014
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT015720 PA
Family Medicine Physician 207Q00000X R1735 TX Primary

Addresses

Primary practice location

5000 W Slaughter LN Ste 100
Austin, TX 78749-4015

Mailing address

PO Box 844658
Dallas, TX 75284

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdeliberato287620@direct.sw.org Direct

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
I20170725000956 TX Practitioner - Family Practice 1355643867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1001 Westbank Dr
Baylor Scott and White Clinic Westlake
Baylor Scott & White Clin, TX 78746-6669
Phone (512) 654-4150

10526 W Parmer LN BLDG
4 Baylor Scott and White Clinic Austi
Austin, TX 78717-4873
Phone (512) 310-4700

10815 Ranch Rd
2222 Suite 100
Austin, TX 78730-1159
Phone (512) 327-4262

11209 S Interstate Hwy 35
Baylor Scott and White Clinic Onion
Austin, TX 78747-1712
Phone (512) 654-4700

11673 Jollyville Rd
Suite 205
Austin, TX 78759-4211
Phone (512) 568-3565

16018 W Hwy 71 Pass
Baylor Scott and White Clinic Bee Cave
Bee Cave, TX 78738-7115
Phone (512) 654-3900

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

200 E Cesar Chavez St
G140 Baylor Scott and White Clinic Austi
Austin, TX 78701-4289
Phone (512) 654-4100

2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4050

5000 W Slaughter LN 100 BLDG
6 Baylor Scott and White Clinic Austi
Austin, TX 78749-4015
Phone (512) 291-8002

5245 W Hwy 290
Baylor Scott and White Medical Center Austi
Austin, TX 78735-8963
Phone (512) 654-2100

5251 W Hwy 290
Baylor Scott and White Clinic Austin Oak Hi
Austin, TX 78735-8963
Phone (512) 654-3000

5251 W Hwy 290 100
Baylor Scott and White Cancer and Infusion Ce
Austin, TX 78735-8963
Phone (512) 654-4319

5330 Overpass Rd
Buda, TX 78610-2300

9800 N Lake Creek Pkwy
200 Baylor Scott and White Clinic Austi
Austin, TX 78717-5947
Phone (512) 336-3400

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OT015720PAMDFamily Medicine Physician
R1735TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Family Medicine CurrentSince Jul 3, 2017 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Jul 3, 2017 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

5000 W Slaughter Ln
Ste 100
Austin, TX 78749
Phone (512) 282-2273

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

1001 Westbank Dr
West Lake Hills, TX 78746
Phone (512) 654-4150

Interoperability endpoints

  • Direct secure messaging: sdeliberato287620@direct.sw.org

Organizations & group practices 3

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 5

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1851701213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W SLAUGHTER LN STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494015",
            "telephone_number": "512-654-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIBERATO",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT015720",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdeliberato287620@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5000 W Slaughter Ln Ste 100",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787494015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.