Individual provider Active NPI

Crystal Melanie Bowden-McKay, M.D.

  • Gastroenterology Physician
  • Cedar Park, TX
National Provider Identifier
1871810069
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
P6785 Issued in TX
Practice address
1401 Medical Parkway
BLDG. B, Suite 211
Cedar Park, TX 78613-5013
Phone
(512) 260-1581
Fax
(512) 406-7309
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P6785 TX
Gastroenterology Physician 207RG0100X P6785 TX Primary

Addresses

Primary practice location

1401 Medical Parkway
BLDG. B, Suite 211
Cedar Park, TX 78613-5013

Mailing address

12701 RR 620 N
Ste 101
Austin, TX 78750-1141
Phone (512) 593-6022

Other identifiers 2

IdentifierTypeStateIssuer
328450703MedicaidTX
328450704MedicaidTX

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
I20131028000777 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 0749427441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1101 Wolf Lake Dr
Georgetown, TX 78628-3778

11113 Research Blvd
Austin, TX 78759-5236
Phone (512) 324-6000

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

19376 Ronald W Reagan Blvd
BLDG B Suite 200
Georgetown, TX 78628-3100
Phone (512) 324-6720

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

301 Seton Pkwy
Round Rock, TX 78665-8003

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
  • Ascension Seton Northwest Hospital, Austin, TX, CCN 450867

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy52
Upper gastrointestinal (GI) endoscopy for acid reflux21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Aug 1, 2022 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Capitol Gastro, PA Gastroenterology CurrentSince Sep 1, 2020 Accepting new patients
Seton Family of Doctors Internal Medicine Current Accepting new patients

Locations

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

12414 Alderbrook Dr
Ste 101
Austin, TX 78758
Phone (512) 491-6542

4207 James Casey St
Ste 111
Austin, TX 78745
Phone (512) 409-9903

12701 Ranch Road 620 N
Ste 101
Austin, TX 78750

12701 620 N
#101
Austin, TX 78750

1401 Medical Pkwy
Ste 211
Cedar Park, TX 78613
Phone (512) 260-1581

1520 Leander Rd
Ste 101
Georgetown, TX 78628
Phone (512) 930-5439

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

940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024

1905 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2400

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1871810069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 RR 620 N",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501141",
            "telephone_number": "512-593-6022",
            "fax_number": "512-599-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PARKWAY",
            "address_2": "BLDG. B, SUITE 211",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135013",
            "telephone_number": "512-260-1581",
            "fax_number": "512-406-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN-MCKAY",
        "first_name": "CRYSTAL",
        "middle_name": "MELANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P6785",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P6785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328450703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328450704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.