Individual provider Active NPI

Kelly Alberda, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1972525376
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9995 Issued in TX
Practice address
5222 Burnet Rd Ste 200
Austin, TX 78756-2433
Phone
(512) 459-9889
Fax
(512) 389-2935
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L9995 TX Primary

Addresses

Primary practice location

5222 Burnet Rd Ste 200
Austin, TX 78756-2433

Mailing address

5222 Burnet Rd Ste 200
Austin, TX 78756-2433
Phone (512) 459-9889

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
I20041129000429 TX Practitioner - Family Practice 9739144015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rosedale Family Care Partners, PAGroup PAC ID 5294887030, 3 clinicians

Practice addresses (Care Compare)

5222 Burnet Rd
Suite 200
Austin, TX 78756-2433
Phone (512) 459-9889

Hospital & facility affiliations

  • Capitol Home Health Home health agency, Austin, TX, CCN 747581
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9995TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosedale Family Care Partners, PA Family Medicine CurrentSince Nov 6, 2019 Accepting new patients
University of Texas Medical Branch, Austin Initiatives at Utmb Family Medicine Past Accepting new patients
Utmb Austin - Initiatives Past Accepting new patients

Locations

5222 Burnet Rd
Ste 200
Austin, TX 78756
Phone (512) 459-9889

Interoperability endpoints

  • Direct secure messaging: kelly.alberda@679357962584068.direct.elationemr.com

Organizations & group practices 3

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 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1972525376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 BURNET RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562433",
            "telephone_number": "512-459-9889",
            "fax_number": "512-389-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BURNET RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562433",
            "telephone_number": "512-459-9889",
            "fax_number": "512-389-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERDA",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.