Individual provider Active NPI

Truly Peterson, MD

  • Internal Medicine Physician
  • Lakeway, TX
National Provider Identifier
1982643680
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2338 Issued in TX
Practice address
101 Medical Pkwy Ste 210
Lakeway, TX 78738-5647
Phone
(512) 814-1984
Fax
(855) 270-9668
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2338 TX Primary

Addresses

Primary practice location

101 Medical Pkwy Ste 210
Lakeway, TX 78738-5647

Mailing address

5625 Eiger Rd Ste 200
Austin, TX 78735-8982
Phone (512) 892-7076

Other identifiers 4

IdentifierTypeStateIssuer
181423805MedicaidTX
181423803MedicaidTX
181423804MedicaidTX
181423802MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Office Direct Ascension Seton

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
I20060710000310 TX Practitioner - Internal Medicine 8921011149 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Austin Family Practice Clinic, PLLCGroup PAC ID 3678564358, 64 clinicians

Practice addresses (Care Compare)

101 Medical Pkwy
Lakeway, TX 78738-5646
Phone (512) 358-8180

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Austin Family Practice Clinic, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Austin Geriatric Specialists, PLLC CurrentSince Feb 1, 2015 Accepting new patients
Seton Hospitalist Service Internal Medicine Past Accepting new patients
Magella Medical Associates Billing, Inc. PastSince Feb 1, 2024 Accepting new patients
Austin Regional Clinic, PA PastSince Jan 1, 2009 Accepting new patients
Austin Regional Clinic, PA Past Accepting new patients

Locations

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

5625 Eiger Rd
Ste 2
Austin, TX 78735

5625 Eiger Rd
Ste 200
Austin, TX 78735

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915

3101 Highway 71 E
Ste 101
Bastrop, TX 78602
Phone (512) 304-0300

170 Benney Ln
Ste 200
Dripping Springs, TX 78620
Phone (512) 858-2997

101 Medical Pkwy
Ste 210
Lakeway, TX 78738
Phone (512) 358-8180

101 Medical Pkwy
Ste 220
Lakeway, TX 78738
Phone (512) 504-7411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: truly.peterson.1@18292.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1982643680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358982",
            "telephone_number": "512-892-7076",
            "fax_number": "855-270-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL PKWY STE 210",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385647",
            "telephone_number": "512-814-1984",
            "fax_number": "855-270-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TRULY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181423805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181423803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181423804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181423802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "Y",
            "affiliationName": "Ascension Seton",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address",
            "address_1": "1201 W 38th St",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787051006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.