Hanh Keyburn, DO
Individual provider Active NPI Pediatrics Physician · Austin, TX
NPI 1861870784 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1861870784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- R6028 (TX)
- Practice address
- 4900 Mueller Blvd
Austin, TX 78723-3079 - Phone
- (512) 324-0165
- NPI assigned
- May 12, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dell Childrens Medical Group
Practice addresses (Care Compare)
1301 Barbara Jordan Blvd
Austin, TX 78723-3078
4900 Mueller Blvd
Austin, TX 78723-3051
Phone (512) 324-0000
Hospital & facility affiliations
- Dell Children'S Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180927001737 | TX | Practitioner - Pediatric Medicine | 8224389424 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09711900 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Dell Children'S Medical Group | Current |
Accepting new patients | |
| Dell Children'S Medical Group | Pediatrics | Current |
Accepting new patients |
| Seton Family of Doctors | Past | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients |
Locations
4900 Mueller Blvd
#2
Austin, TX 78723
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB09711900 | NJ | |
| Pediatrics Physician | 208000000X | R6028 | TX | Yes |
Addresses
Primary practice location
4900 Mueller Blvd
Austin, TX 78723-3079
Mailing address
4900 Mueller Blvd
Austin, TX 78723-3079
Phone (512) 324-0165
Other practice location 1
94 Old Short Hills Rd
St Barnabas Medical Center
Livingston, NJ 07039-5672
Phone (973) 322-5690
Other names
- Hanh Nguyen
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.