Individual provider Active NPI

Isabell Bacot, PA

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1922234384
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3705 Medical Pkwy
250
Austin, TX 78705-1019
Phone
(512) 334-1885
Fax
(512) 334-1890
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3705 Medical Pkwy
250
Austin, TX 78705-1019

Mailing address

104 Peterson CT
Lakeway, TX 78734-4123
Phone (512) 810-2220

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000509 TX Practitioner - Physician Assistant 1355487406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Surgeons Group, PLLCGroup PAC ID 8527039031, 14 clinicians

Practice addresses (Care Compare)

11113 Research Blvd
Austin, TX 78759-5236
Phone (512) 324-6000

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

5625 Eiger Rd
Suite 230
Austin, TX 78735-8983
Phone (512) 441-7755

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Practice Management-LLC PastSince Jan 23, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: isabell.bacot.1@22422.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1922234384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PETERSON CT",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344123",
            "telephone_number": "512-810-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-334-1885",
            "fax_number": "512-334-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACOT",
        "first_name": "ISABELL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.