Individual provider Active NPI

Steven Andrew Jennings, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Austin, TX
National Provider Identifier
1932123643
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
M4210 Issued in TX
Practice address
901 W Ben White Blvd
Austin, TX 78704-6903
Phone
(512) 447-2211
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X M4210 TX Primary
Emergency Medicine Physician 207P00000X M4210 TX

Addresses

Primary practice location

901 W Ben White Blvd
Austin, TX 78704-6903

Mailing address

1104 Folts Ave
Austin, TX 78704-2117

Other identifiers 2

IdentifierTypeStateIssuer
182666101MedicaidTX
182666103MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061205000738 TX Practitioner - Emergency Medicine 4880693639 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4210TXMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brushy Creek Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 28, 2021 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Lake Travis Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 10, 2021 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Feb 15, 2015 Accepting new patients
Capitol City Emergency Staffing PA Emergency Medical Services Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

Interoperability endpoints

  • Direct secure messaging: sjennings640275@direct.multicare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1932123643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 FOLTS AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046903",
            "telephone_number": "512-447-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "M4210",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M4210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182666101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182666103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.