Individual provider Active NPI

Austin Farroni, PA-C

  • Physician Assistant
  • Kyle, TX
National Provider Identifier
1972022341
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12922 Issued in TX
Practice address
4210 Benner
Kyle, TX 78640-2230
Phone
(512) 298-1645
NPI assigned
Sep 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005213RX OH
Physician Assistant 363A00000X PA12922 TX Primary

Addresses

Primary practice location

4210 Benner
Kyle, TX 78640-2230

Mailing address

4210 Benner
Kyle, TX 78640-2230
Phone (512) 298-1645

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
I20190830002877 TX Practitioner - Physician Assistant 3779849294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLC 219 clinicians

Practice addresses (Care Compare)

12400 W Hwy 290
Suite 420
Austin, TX 78737-9445
Phone (281) 783-8162

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.005213RXOHMDPhysician Assistant
PA12922TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Nov 11, 2024 Accepting new patients
Alan D Silberberg MD PA CurrentSince Apr 1, 2023 Accepting new patients

Locations

5625 Eiger Rd
Ste 160
Austin, TX 78735
Phone (281) 362-0006

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

4210 Benner
Kyle, TX 78640
Phone (512) 298-1645

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

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.

NPI Registry JSON

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1972022341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 BENNER",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402230",
            "telephone_number": "512-298-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 BENNER",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402230",
            "telephone_number": "512-298-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRONI",
        "first_name": "AUSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-16",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005213RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.