Individual provider Active NPI

Babak Kaviani, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Austin, TX
National Provider Identifier
1962698241
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1854 Issued in TX
Practice address
4131 Spicewood Springs Rd Ste K1
Austin, TX 78759-8600
Phone
(512) 394-5108
Fax
(512) 394-5109
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1854 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1854 TX Primary

Addresses

Primary practice location

4131 Spicewood Springs Rd Ste K1
Austin, TX 78759-8600

Mailing address

PO Box 91674
Austin, TX 78709-1674
Phone (512) 394-5108

Other identifiers 4

IdentifierTypeStateIssuer
2129165MedicaidTX
POO832863OtherTXRAILROAD MEDICARE
2129157MedicaidTX
70159751OtherTXDPS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090109000115 TX Practitioner - Podiatry 6406919984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluebonnet Foot and Ankle Institute, LLCGroup PAC ID 1355696675, 4 clinicians

Practice addresses (Care Compare)

4131 Spicewood Springs Rd
Suite K1
Austin, TX 78759-8600
Phone (512) 394-5108

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue22
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Foot and Ankle Institute, LLC Podiatrist CurrentSince May 1, 2018 Accepting new patients
Center for Foot and Ankle Surgery, PA PastSince Feb 1, 2007 Accepting new patients
Richard C Adam DPM PA Podiatrist PastSince Sep 7, 1990 Accepting new patients
Texas Premier Physical Therapy, LLC Past Accepting new patients

Locations

3921 Steck Ave
Ste A114
Austin, TX 78759
Phone (512) 338-0171

6633 E Highway 290
Ste 310
Austin, TX 78723
Phone (210) 639-4234

4131 Spicewood Springs Rd
Ste K1
Austin, TX 78759
Phone (512) 346-9299

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17766/brand/1/csg/1/fhir/r4
  • Direct secure messaging: babak.kaviani.1@17766.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1962698241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91674",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787091674",
            "telephone_number": "512-394-5108",
            "fax_number": "512-394-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE K1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598600",
            "telephone_number": "512-394-5108",
            "fax_number": "512-394-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVIANI",
        "first_name": "BABAK",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1854",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2129165",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "POO832863",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2129157",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "70159751",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.