Individual provider Active NPI

Zachary D Wassmuth, M.D.

  • Otolaryngology Physician
  • Austin, TX
National Provider Identifier
1972577534
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L5608 Issued in TX
Practice address
12309 N Mopac Expy Ste 100
Austin, TX 78758-2604
Phone
(512) 339-4040
Fax
(512) 339-1663
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L5608 TX
Otolaryngology Physician 207Y00000X L5608 TX Primary

Addresses

Primary practice location

12309 N Mopac Expy Ste 100
Austin, TX 78758-2604

Mailing address

12309 N Mopac Expressway
Suite 100
Austin, TX 78758-2577
Phone (512) 339-4040

Other practice location 1

4 Lakeway Centre Ct Unit B
Lakeway, TX 78734-2757
Phone (512) 339-4040

Other identifiers 1

IdentifierTypeStateIssuer
3389220OtherAETNA

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
I20100407000751 TX Practitioner - Otolaryngology 6901944818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Otolaryngology Head and Neck Surgeons, PAGroup PAC ID 3678551496, 9 clinicians

Practice addresses (Care Compare)

12309 N Mo Pac Expy
Suite 100
Austin, TX 78758-2604
Phone (513) 339-4040

Merit-based Incentive Payment System (MIPS)

Final score
63.98 of 100Reported as group
Quality
40
Improvement activities
40
Cost
59.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5608TXMDSpecialist

Interoperability endpoints

  • Direct secure messaging: zachary.wassmuth@co-tx.direct.office.nextgen.com

Organizations & group practices 1

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1972577534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPRESSWAY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582577",
            "telephone_number": "512-339-4040",
            "fax_number": "512-997-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582604",
            "telephone_number": "512-339-4040",
            "fax_number": "512-339-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Lakeway Centre Ct Unit B",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787342757",
            "country_code": "US",
            "telephone_number": "512-339-4040",
            "fax_number": "512-339-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSMUTH",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5608",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L5608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3389220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.