Organization Active NPI

Austin ENT Associates

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Round Rock, TX
National Provider Identifier
1891840575
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
AUSTIN ENT ASSOCIATES
Practice address
7200 Wyoming Springs Dr Ste 1400
Round Rock, TX 78681-4306
Phone
(512) 458-6391
Fax
(512) 580-0097
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Jennifer Van Reusen
Title
Office Administrator
Phone
(512) 380-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

7200 Wyoming Springs Dr Ste 1400
Round Rock, TX 78681-4306

Mailing address

7200 Wyoming Springs Dr Ste 1400
Round Rock, TX 78681-4306
Phone (512) 458-6391

Other identifiers 1

IdentifierTypeStateIssuer
00QF41OtherTXBCBS

Other names 1

  • J.P. Bordelon M.D. & Associates Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070418000241 TX Part B Supplier - Clinic/Group Practice 0345345419 Receives reassigned benefits from 7 practitioners
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Locations

3705 Medical Pkwy
Ste 310
Austin, TX 78705
Phone (512) 454-0392

7200 Wyoming Springs Dr
Ste 1200
Round Rock, TX 78681
Phone (512) 458-6391

7200 Wyoming Springs Dr
Ste 1400
Round Rock, TX 78681
Phone (512) 244-2263

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1891840575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 1400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814306",
            "telephone_number": "512-458-6391",
            "fax_number": "512-580-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 1400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814306",
            "telephone_number": "512-458-6391",
            "fax_number": "512-580-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "VAN REUSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "512-380-4050"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00QF41",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.P. Bordelon M.D. & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "J.P. Bordelon M.D. & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.