Individual provider Active NPI

Manuela Ewing, M.D.

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1871889436
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q0909 Issued in TX
Practice address
6300 La Calma Dr Ste 200
Austin, TX 78752-3825
Phone
(512) 452-8533
NPI assigned
Jun 22, 2011
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0065523 CO
Emergency Medicine Physician 207P00000X Q0909 TX Primary

Addresses

Primary practice location

6300 La Calma Dr Ste 200
Austin, TX 78752-3825

Mailing address

6300 La Calma Dr Ste 200
Austin, TX 78752-3825
Phone (512) 542-8533

Other practice location 1

575 Rivergate
Durango, CO 81301-7487
Phone (970) 247-3537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141016001022 TX Practitioner - Emergency Medicine 0648491670 Reassigns benefits to 1 organization
I20210407003155 CO Practitioner - Emergency Medicine 0648491670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0065523COMDEmergency Medicine Physician
Q0909TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Durango Surgery Center LLC CurrentSince Feb 2, 2021 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Animas Surgical Hospital, LLC Emergency Medicine CurrentSince Feb 2, 2021 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Animas Surgical Hospital, LLC Past Accepting new patients

Locations

450 S Camino del Rio
Ste 106
Durango, CO 81301
Phone (970) 259-9311

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

6300 La Calma Dr
Ste 200
Austin, TX 78752
Phone (512) 610-0321

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

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

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-8100

Organizations & group practices 7

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 4

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1871889436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 LA CALMA DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523825",
            "telephone_number": "512-542-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 LA CALMA DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523825",
            "telephone_number": "512-452-8533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Rivergate",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017487",
            "country_code": "US",
            "telephone_number": "970-247-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWING",
        "first_name": "MANUELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0065523",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q0909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.