Active NPI
Travis County Emergency Physicians PA
- Emergency Medicine Physician
- Austin, TX
National Provider Identifier
1962440933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- TRAVIS COUNTY EMERGENCY PHYSICIANS PA
- Practice address
- 1201 W 38TH St
Austin, TX 78705-1006 - Phone
- (330) 493-4443
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Roberts, MD
- Title
- President
- Phone
- (512) 452-8533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1201 W 38TH St
Austin, TX 78705-1006
Mailing address
6300 La Calma Dr
Suite 200
Austin, TX 78752-3843
Phone (512) 452-8533
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G07P | Other | TX | BCBS |
| 121697002 | Medicaid | TX | |
| 121697001 | Other | TX | CSHCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040510000492 | TX | Part B Supplier - Clinic/Group Practice | 0840289468 | Receives reassigned benefits from 1,735 practitioners |
National Provider Directory
National Provider DirectoryLocations
2073 Ruben Torres SR Blvd
Brownsville, TX 78526
Phone (956) 389-1736
5100 Loop 500 E
Center, TX 75935
Phone (936) 568-3450
24500 Northwest Fwy
Cypress, TX 77429
Phone (346) 238-5867
18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
8200 Highway 6
Sienna Plantation, TX 77459
Phone (713) 441-3724
Practitioners & affiliated clinicians
Practitioners 1,770
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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-
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- Sugar Land, TX
- NPI 1922008101
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1770163628
Emergency Medicine, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517529600000",
"number": "1962440933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 LA CALMA DR",
"address_2": "SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523843",
"telephone_number": "512-452-8533",
"fax_number": "512-452-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W 38TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051006",
"telephone_number": "330-493-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVIS COUNTY EMERGENCY PHYSICIANS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2018-02-02",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-452-8533",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00G07P",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121697002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "121697001",
"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 Feb 2, 2018; 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.