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KAETHAN BYSANI DO
NPI 1063972859
Radiology - Diagnostic Radiology in Austin, TX

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
12554 RIATA VISTA CIR, AUSTIN, TX 78727(512) 795-5100 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2020, Mar 20, 2019 (2 updates tracked since 2019).

About Kaethan Bysani Do NPPES

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

KAETHAN BYSANI DO (NPI 1063972859) is an individual diagnostic radiology provider in Austin, Texas, licensed in Texas (V6889) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063972859
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKAETHAN BYSANICredential: DO
Location Address12554 RIATA VISTA CIRAustin, TX 78727-6431
Mailing Address12554 Riata Vista CirAustin, TX 78727-6431 · (512) 795-5100
Phone(512) 795-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1063972859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · V6889
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12554 RIATA VISTA CIR, Austin, TX 78727
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1333 City Blvd W Ste 1600Orange, CA 92868-5903 · Phone (714) 509-2377
Location 21611 NW 12th AveMiami, FL 33136-1005 · Phone (317) 490-3210

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaethan Bysani Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820513583
PECOS Enrollment IDI20250416000368
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number670043
Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78727 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GREGORY CONNOR MD
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
AUSTIN RADIOLOGICAL ASSOCIATION
Clinic/Center (Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
DR. BRADLEY BRENNER MD
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
DR. MAEGAN KELLIE GARCIA LAZAGA M.D.
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
ERIC EDWARD MAHLMANN
Physician Assistant
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
SETH D. O'BRIEN M.D.
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
MICHAEL A. JAIMES M.D.
Radiology (Vascular & Interventional Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
DR. JOHN ANDREW WILLIAMSON M.D.
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100

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 Kaethan Bysani's NPI number?

The NPI number for Kaethan Bysani is 1063972859. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Kaethan Bysani located?

Kaethan Bysani practices at 12554 Riata Vista Cir, Austin, TX 78727. The listed phone number is (512) 795-5100.

What is Kaethan Bysani's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kaethan Bysani enrolled in Medicare?

Yes. Kaethan Bysani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kaethan Bysani accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kaethan Bysani 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.

Is Kaethan Bysani affiliated with any hospitals?

According to CMS data, Kaethan Bysani is affiliated with St David's Medical Center, St David's South Austin Medical Center, Round Rock Medical Center, North Austin Medical Center and Cedar Park Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kaethan Bysani was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.