Active NPI
Maura Ruby Ronquillo
- Obstetrics & Gynecology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- T0612
- Practice address
- 1301 W 38TH St
Suite 705
Austin, TX 78705-1000 - Phone
- (575) 650-6415
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 506718538 | NM | |
| Obstetrics & Gynecology Physician | 207V00000X | T0612 | TX | Primary |
Addresses
Primary practice location
1301 W 38TH St
Suite 705
Austin, TX 78705-1000
Mailing address
1301 W 38TH St
Suite 705
Austin, TX 78705-1000
Phone (575) 650-6415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP10059760 | Other | TX | BASIC POST GRADUATE TRAINING PERMIT |
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
- Obstetrics/Gynecology
- Education
- University of New Mexico School of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Central Texas Community Health Centers
Practice addresses (Care Compare)
1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 406-6300
2901 Montopolis Dr
Austin, TX 78741-6411
Phone (512) 978-9955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 506718538 | NM | MD | Obstetrics & Gynecology Physician |
| T0612 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas at Austin Dell Medical School | Current | Accepting new patients | |
| The University of Texas at Austin | Current | Accepting new patients | |
| Seton Family of Doctors | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Texas at Austin Dell Medical School | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients |
Locations
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5300
1301 W 38th St
Ste 705
Austin, TX 78705
Phone (512) 263-3355
Interoperability endpoints
- maura.ronquillo.1@16041.direct.athenahealth.com
- maura.ronquillo.1@8363.direct.athenahealth.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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
Obstetrics & Gynecology
-
- General Practice Physician
- Austin, TX
- NPI 1073066239
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- General Practice Physician
- Austin, TX
- NPI 1073032546
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1780218305
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1912433707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W 38TH ST",
"address_2": "SUITE 705",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051000",
"telephone_number": "575-650-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 38TH ST",
"address_2": "SUITE 705",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051000",
"telephone_number": "575-650-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONQUILLO",
"first_name": "MAURA",
"middle_name": "RUBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "506718538",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "T0612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BASIC POST GRADUATE TRAINING PERMIT",
"identifier": "BP10059760",
"state": "TX"
}
],
"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 15, 2021; 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.