Individual provider Active NPI

Tessa Kimberly Novick, M.D., M.S.W

  • Nephrology Physician
  • Austin, TX
National Provider Identifier
1881039568
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
S0962 Issued in TX
Practice address
321 W Ben White Blvd
Austin, TX 78704-7035
Phone
(512) 320-1500
NPI assigned
May 8, 2013
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8684 MD
Internal Medicine Physician 207R00000X D0081050 MD
Nephrology Physician 207RN0300X S0962 TX Primary

Addresses

Primary practice location

321 W Ben White Blvd
Austin, TX 78704-7035

Mailing address

408 W 45TH St
Austin, TX 78751-3014
Phone (512) 451-5800

Other practice location 1

408 W 45th St
Austin, TX 78751-3014
Phone (512) 451-5800

Other identifiers 1

IdentifierTypeStateIssuer
4022238MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 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
I20190925001776 TX Practitioner - Nephrology 2668765470 Reassigns benefits to 2 organizations
I20260410002165 NJ Practitioner - Nephrology 2668765470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Southwestern Medical School at Dallas, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Hypertension-Nephrology Associates L L CGroup PAC ID 2365414588, 7 clinicians
Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

Princeton Junction, NJ 08550
Phone (609) 750-7330

3000 N Ih
35 Suite 635
Austin, TX 78705-1804
Phone (512) 320-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8684MDMDInternal Medicine Physician
D0081050MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates PA Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Jul 3, 2020 Accepting new patients
Seton Family of Doctors Single Specialty CurrentSince Jul 3, 2020 Accepting new patients
Austin Kidney Associates, P. a. CurrentSince Sep 1, 2019 Accepting new patients
Austin Nephrology Associates, PA Single Specialty Past Accepting new patients

Locations

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

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

300 E Highland Mall Blvd
Ste 1A
Austin, TX 78752
Phone (512) 451-5800

3000 Ih 35 N
Ste 635
Austin, TX 78681

3000 N Interstate 35
Ste 635
Austin, TX 78705

321 W Ben White Blvd
Austin, TX 78704

321 W Ben White Blvd
Ste 205
Austin, TX 78704
Phone (512) 451-5800

408 W 45th St
Austin, TX 78751
Phone (512) 451-5800

4100 Duval Rd
Bldg 4
Austin, TX 78759
Phone (512) 250-0220

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

1720 E Whitestone Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 451-5800

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

301 Seton Pkwy
Ste 401
Round Rock, TX 78665
Phone (512) 324-4813

Interoperability endpoints

  • Direct secure messaging: tessa.novick.1@8363.direct.athenahealth.com
  • Direct secure messaging: tnovick39658@direct.davitaphysiciansolutions.com

Organizations & group practices 6

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1881039568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047035",
            "telephone_number": "512-320-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 W 45th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787513014",
            "country_code": "US",
            "telephone_number": "512-451-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVICK",
        "first_name": "TESSA",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "8684",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0081050",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S0962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4022238",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.