Active NPI
Joshua Ende, PAC
- Physician Assistant
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08292
- Practice address
- 302 University Blvd
Round Rock, TX 78665-1032 - Phone
- (512) 509-0200
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011811 | NY | |
| Physician Assistant | 363A00000X | PA08292 | TX | Primary |
Addresses
Primary practice location
302 University Blvd
Round Rock, TX 78665-1032
Mailing address
PO Box 843930
Dallas, TX 75284-3930
Phone (512) 509-0200
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130823000080 | TX | Practitioner - Physician Assistant | 1850575978 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Austin Travis County Mental Health and Mental Retardation Center
Practice addresses (Care Compare)
1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357
1631 E 2ND St
Suite D
Austin, TX 78702-4491
Phone (512) 472-4357
1631 E 2ND St a
Austin, TX 78702-4491
Phone (512) 472-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011811 | NY | MD | Mental Health Counselor |
| PA08292 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Travis County Mental Health and Mental Retardation Center | Physician Assistant | Current | Accepting new patients |
| Austin Travis County Mental Health and Mental Retardation Center | Current | Accepting new patients | |
| Scott & White Memorial Hospital | Past | Accepting new patients | |
| Tri-County Clinical | Past | Accepting new patients |
Locations
1430 Collier St
Austin, TX 78704
Phone (512) 427-4357
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1750337259
Physician Assistant, TX
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Austin, TX
- NPI 1053632505
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Temple, TX
- NPI 1710942040
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1588971477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1992970511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843930",
"city": "DALLAS",
"state": "TX",
"postal_code": "752843930",
"telephone_number": "512-509-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651032",
"telephone_number": "512-509-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDE",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011811",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.