Organization Active NPI

Lone Star Endoscopy of Austin, PLLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1902402183
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LONE STAR ENDOSCOPY OF AUSTIN, PLLC
Practice address
9312 Brodie LN
Austin, TX 78748-5176
Phone
(512) 963-1428
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Rahesh Mehta, MD
Title
Manager
Phone
(512) 963-1428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9312 Brodie LN
Austin, TX 78748-5176

Mailing address

9312 Brodie LN
Austin, TX 78748-5176
Phone (512) 963-1428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210409000224 TX Part B Supplier - Ambulatory Surgical Center 6608284724 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

9312 Brodie Ln
#101
Austin, TX 78748

9312 Brodie Ln
#100
Austin, TX 78748
Phone (512) 963-1428

9312 Brodie Ln
Ste 200
Austin, TX 78748

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGCDDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1902402183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9312 BRODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485176",
            "telephone_number": "512-963-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 BRODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485176",
            "telephone_number": "512-963-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR ENDOSCOPY OF AUSTIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "RAHESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-963-1428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Dec 11, 2020; 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.