Active NPI
Andrew Dean Papendieck, MD
- Family Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R3932
- Practice address
- 651 Sundown Lane
Austin, TX 78669 - Phone
- (512) 677-9013
- NPI assigned
- Jun 16, 2015
- Last updated
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 68000-020 | WI | |
| Family Medicine Physician | 207Q00000X | DR.0061334 | CO | |
| Family Medicine Physician | 207Q00000X | BP10054213 | TX | |
| Family Medicine Physician | 207Q00000X | 10992605-1205 | UT | |
| Family Medicine Physician | 207Q00000X | 68000-20 | WI | |
| Family Medicine Physician | 207Q00000X | R3932 | TX | Primary |
Addresses
Primary practice location
651 Sundown Lane
Austin, TX 78669
Mailing address
120 Barton Ranch Cir
Dripping Springs, TX 78620-3750
Phone (512) 415-8405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100095277 | Medicaid | WI | |
| 678385 | Other | TX | MEDICARE |
Other names 1
- Dr. Andrew Papendieck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1518 Ranch Rd 620
Suite 100
Lakeway, TX 78734-6291
Phone (817) 527-3403
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0061334 | CO | MD | Family Medicine Physician |
| R3932 | TX | MD | Family Medicine Physician |
| 10992605-1205 | UT | MD | Family Medicine Physician |
| 68000-020 | WI | MD | Family Medicine Physician |
| 68000-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Austin Family Practice Clinic, PLLC | Family Medicine | Current | Accepting new patients |
| Legacy Urgent Care, PA | Current | Accepting new patients | |
| Medconmd1 PLLC | Current | Accepting new patients | |
| Lakeway Era Acquistion Partners LLC | Past | Accepting new patients | |
| Westlake Complete Care LLC | Past | Accepting new patients | |
| TLC Corpus Emergency Care LLC | Past | Accepting new patients |
Locations
5625 Eiger Rd
Ste 2
Austin, TX 78735
5625 Eiger Rd
Ste 200
Austin, TX 78735
330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777
7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000
9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020
2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277
8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277
Interoperability endpoints
- https://api.platform.athenahealth.com/12515/brand/6/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Texas Complete Urgent Care Physicians
- Urgent Care Clinic/Center
- Lakeway, TX
- NPI 1285088161
-
- Urgent Care Clinic/Center
- Frisco, TX
- NPI 1568622272
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1649028267
-
- Family Medicine Physician
- Austin, TX
- NPI 1235130592
-
dba Vik Complete Care Lakeway
- Emergency Care Clinic/Center
- Lakeway, TX
- NPI 1093165631
-
dba TLC Complete Care
- Emergency Care Clinic/Center
- Corpus Christi, TX
- NPI 1720483829
-
dba Vik Complete Care Westlake
- Emergency Care Clinic/Center
- Austin, TX
- NPI 1497115539
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. David's South Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1992186829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BARTON RANCH CIR",
"city": "DRIPPING SPRINGS",
"state": "TX",
"postal_code": "786203750",
"telephone_number": "512-415-8405",
"fax_number": "512-675-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 SUNDOWN LANE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78669",
"telephone_number": "512-677-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPENDIECK",
"first_name": "ANDREW",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2022-06-08",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "68000-020",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0061334",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10054213",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "10992605-1205",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "68000-20",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R3932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100095277",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "678385",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREW",
"last_name": "PAPENDIECK",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.