NPIMap

Organization Active NPI

Texas Oculoplastic Consultants LLP

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1942270103
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
TEXAS OCULOPLASTIC CONSULTANTS LLP
Practice address
3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019
Phone
(512) 458-2141
Fax
(512) 458-4824
NPI assigned
Jan 23, 2006
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Dr. Vikram D Durairaj, MDNPI 1871683540
Title
Partner
Phone
(512) 458-2141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X Primary

Addresses

Primary practice location

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019

Mailing address

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019
Phone (512) 458-2141

Other practice location 1

12201 Renfert Way Ste 335
Austin, TX 78758-5363
Phone (512) 458-2141

Other identifiers 3

IdentifierTypeStateIssuer
180024852OtherTXRAILROAD MEDICARE
095049501MedicaidTX
0086AZOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803000574 TX Part B Supplier - Clinic/Group Practice 3173594249 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
Practice locations: Austin, TX; Cedar Park, TX; Fredericksburg, TX; Kerrville, TX

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
TX Oculoplastic Consultants7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1942270103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-4824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 Renfert Way Ste 335",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585363",
            "country_code": "US",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS OCULOPLASTIC CONSULTANTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "DURAIRAJ",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "512-458-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180024852",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095049501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086AZ",
            "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 Oct 11, 2022; 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.