Individual provider Active NPI

Andrew Dean Papendieck, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1992186829
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3932 Issued in TX
Practice address
651 Sundown Lane
Austin, TX 78669
Phone
(512) 677-9013
NPI assigned
Jun 16, 2015
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100095277MedicaidWI
678385OtherTXMEDICARE

Other names 1

  • Dr. Andrew Papendieck Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180109001301 TX Practitioner - Emergency MedicinePractitioner - Family Practice 6103135710 Reassigns benefits to 4 organizations
I20200210001250 WI Practitioner - Family Practice 6103135710

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
Cec Lakeway Urgent Care Physicians PLLCGroup PAC ID 8123318169, 12 clinicians

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

LicenseStateTypeSpecialty
DR.0061334COMDFamily Medicine Physician
R3932TXMDFamily Medicine Physician
10992605-1205UTMDFamily Medicine Physician
68000-020WIMDFamily Medicine Physician
68000-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Austin Family Practice Clinic, PLLC Family Medicine CurrentSince Jun 29, 2018 Accepting new patients
Legacy Urgent Care, PA CurrentSince Jul 26, 2022 Accepting new patients
Medconmd1 PLLC CurrentSince Jun 25, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.