BASTROP MEDICAL CLINIC, PA
NPI 1043236201
Internal Medicine in Bastrop, TX

Active since July 14, 2006CLIA 45D1052389 · Waiver
195 S HASLER BLVD, SUITE B-1, BASTROP, TX 78602(512) 308-1555(512) 308-1565 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, Apr 11, 2017 (2 updates tracked since 2017).

About Bastrop Medical Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASTROP MEDICAL CLINIC, PA (NPI 1043236201) is a healthcare organization registered as an internal medicine in Bastrop, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Augustin Roger Batlle, Owner, as its authorized official.

NPPES Registry Identity

NPI1043236201
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBASTROP MEDICAL CLINIC, PA
Location Address195 S HASLER BLVD, SUITE B-1Bastrop, TX 78602-4081
Mailing AddressPo Box 938Killeen, TX 76540-0938 · (512) 308-1555 · Fax (512) 308-1565
Fax(512) 308-1565
Organization SubpartNo
Authorized OfficialAugustin Roger BatlleOwner · (512) 308-1555
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1043236201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License J6324 (TX)
195 S HASLER BLVD, Bastrop, TX 78602

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bastrop Medical Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bastrop Medical Clinic, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1902985427
195 S. HASLER BLVD. SUITE B-1
Bastrop, TX 78602
(512) 308-1555
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437757432
195 S HASLER BLVD B-1
Bastrop, TX 78602
(512) 308-1555
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1962827576
195 S HASLER BLVD SUITE B-1
Bastrop, TX 78602
(512) 308-1555
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1052389

Bastrop Medical Clinic · Bastrop, TX
Active · expires Feb 5, 2027
CLIA Number45D1052389
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorAugustine Batlle
Laboratory Phone(512) 308-1555
Laboratory LocationBastrop Medical Clinic195 S Hasler Blvd , Suite B-1, Bastrop, TX 78602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bastrop Medical Clinic, PA's NPI number?

The NPI number for Bastrop Medical Clinic, PA is 1043236201. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Bastrop Medical Clinic, PA located?

Bastrop Medical Clinic, PA is located at 195 S Hasler Blvd Suite B-1, Bastrop, TX 78602. The listed phone number is (512) 308-1555.

What is Bastrop Medical Clinic, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bastrop Medical Clinic, PA enrolled in Medicare?

Yes. Bastrop Medical Clinic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bastrop Medical Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bastrop Medical Clinic, PA, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bastrop Medical Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1052389) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bastrop Medical Clinic, PA accept?

Health plans from Sendero Health Plans, Local Nonprofit list Bastrop Medical Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bastrop Medical Clinic, PA was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.