Active NPI
Michael William Lattanzi
- Hematology & Oncology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- T5155
- Practice address
- 6204 Balcones Dr
Austin, TX 78731-4214 - Phone
- (512) 427-9400
- Fax
- (512) 342-2723
- NPI assigned
- Jun 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 2022-01073 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | T5155 | TX | Primary |
Addresses
Primary practice location
6204 Balcones Dr
Austin, TX 78731-4214
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other practice location 1
550 1st Ave
New York, NY 10016-6402
Phone (212) 263-5506
Other practice location 2
20 Medical Park Dr Ste B
Asheville, NC 28803-2493
Phone (828) 254-8232
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- New York University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2410 Round Rock Ave
Suite 150
Round Rock, TX 78681-4019
Phone (512) 341-8724
Hospital & facility affiliations
- Ascension Seton Medical Center Austin
- St David'S Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T5155 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
Locations
12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900
6204 Balcones Dr
Austin, TX 78731
Phone (512) 302-1771
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
2410 Round Rock Ave
Ste 150
Round Rock, TX 78681
Phone (512) 341-8724
Interoperability endpoints
- michael.lattanzi@txo.ikm.direct-ci.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1902255276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "214-234-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6204 BALCONES DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314214",
"telephone_number": "512-427-9400",
"fax_number": "512-342-2723"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-5506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Medical Park Dr Ste B",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288032493",
"country_code": "US",
"telephone_number": "828-254-8232",
"fax_number": "828-253-4470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATTANZI",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-08",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "2022-01073",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "T5155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.