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: October 18, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Austin Diagnostic Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

126

Medicare enrollment records show 126 clinicians reassign Medicare billing to The Austin Diagnostic Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 80 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner22
Internal Medicine20
Family Practice19
Pediatric Medicine14
Nephrology11
Obstetrics/Gynecology7
Endocrinology5
Cardiovascular Disease (Cardiology)3
14 other specialties25

Nearest to this location (20)

See all 126
Nurse Practitioner
NPI 1245287150
12221 MOPAC EXPRESSWAY NORTH
Austin, TX 78758
(512) 901-4009
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548558307
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1366706921
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1134237746
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4007
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1720053085
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4014
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1619123775
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1164405833
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4009
✔ PECOS0.1 mi
Nephrology
NPI 1932174299
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4010
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1417922741
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4013
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Medicine and Rehabilitation
NPI 1386901072
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4011
✔ PECOS✔ Accepts Medicare0.1 mi
Endocrinology
NPI 1992048185
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4005
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1386712040
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-1111
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1992157788
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4015
✔ PECOS✔ Accepts Medicare0.1 mi
Allergy/Immunology
NPI 1528250149
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4002
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1730170960
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1902860976
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4011
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1558467407
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4014
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1902096555
12221 N MO PAC EXPY
Austin, TX 78758
(512) 901-4001
✔ PECOS✔ Accepts Medicare0.2 mi
Registered Dietitian or Nutrition Professional
NPI 1346434511
12221 N MO PAC EXPY
Austin, TX 78758
(512) 901-4005
✔ Accepts Medicare0.2 mi
Pediatric Medicine
NPI 1114121787
2400 CEDAR BEND DR AUSTIN DIAGNOSTIC CLINIC
Austin, TX 78758
(512) 901-4016
✔ PECOS0.2 mi
See all 126 clinicians

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

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.

Is The Austin Diagnostic Clinic, PLLC enrolled in Medicare?

Yes. The Austin Diagnostic Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Austin Diagnostic Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 126 clinicians in 22 Medicare specialties reassign their Medicare billing to The Austin Diagnostic Clinic, PLLC. 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. The largest specialties are Nurse Practitioner (22), Internal Medicine (20) and Family Practice (19). Of these, 1 practice at this address and 80 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Austin Diagnostic Clinic, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.