THE AUSTIN DIAGNOSTIC CLINIC, PLLC
NPI 1104803816
Internal Medicine - Cardiovascular Disease in Austin, TX

Active since December 23, 2005
12221 MO PAC EXPWY NORTH, DEPT OF CARDIOLOGY, AUSTIN, TX 78758(512) 901-4001(512) 901-3901 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Austin Diagnostic Clinic, Pllc NPPES

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

THE AUSTIN DIAGNOSTIC CLINIC, PLLC (NPI 1104803816) is a healthcare organization registered as a cardiovascular disease in Austin, Texas and active in the NPI registry since December 2005. The organization lists John Rebok, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104803816
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameTHE AUSTIN DIAGNOSTIC CLINIC, PLLC
Location Address12221 MO PAC EXPWY NORTH, DEPT OF CARDIOLOGYAustin, TX 78758
Mailing Address2000 Health Park Dr Dept OfBrentwood, TN 37027-4525 · (615) 372-5004 · Fax (866) 831-4898
Fax(512) 901-3901
Organization SubpartNo
Authorized OfficialJohn RebokVice President · (615) 372-5004
Enumeration DateDecember 23, 2005
Last NPPES UpdateJune 25, 2018
NPI 1104803816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
12221 MO PAC EXPWY NORTH, Austin, TX 78758

Other Identifiers 1

Medicaid140347904TX

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

Other Providers at the Same Location NPPES 8

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

Physical Therapist
12221 MO PAC EXPWY NORTH, DEPT OF PHYSICAL THERAPY
AUSTIN, TX 78758
Dermatology
12221 MO PAC EXPWY NORTH, DEPT OF DERMATOLOGY
AUSTIN, TX 78758
Psychiatry & Neurology (Neurology)
12221 MO PAC EXPWY NORTH, DEPT OF NEUROLOGY
AUSTIN, TX 78758
Internal Medicine (Nephrology)
12221 MO PAC EXPWY NORTH, DEPT OF NEPHROLOGY
AUSTIN, TX 78758
Internal Medicine (Gastroenterology)
12221 MO PAC EXPWY NORTH, DEPT OF GASTROENTEROLOGY
AUSTIN, TX 78758
Ophthalmology
12221 MO PAC EXPWY NORTH, DEPT OF OPHTHALMOLOGY
AUSTIN, TX 78758
Urology
12221 MO PAC EXPWY NORTH, DEPT OF UROLOGY
AUSTIN, TX 78758
Otolaryngology
12221 MO PAC EXPWY NORTH, DEPT OF ENT
AUSTIN, TX 78758

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 The Austin Diagnostic Clinic, PLLC's NPI number?

The NPI number for The Austin Diagnostic Clinic, PLLC is 1104803816. It was assigned to this organization in the NPPES registry on December 23, 2005.

Where is The Austin Diagnostic Clinic, PLLC located?

The Austin Diagnostic Clinic, PLLC is located at 12221 Mo Pac Expwy North Dept Of Cardiology, Austin, TX 78758. The listed phone number is (512) 901-4001.

What is The Austin Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does The Austin Diagnostic Clinic, PLLC 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 1 other insurer list The Austin Diagnostic Clinic, PLLC 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 The Austin Diagnostic Clinic, PLLC was last updated on June 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.