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DR. AUSTIN-MARLEY WINDHAM-HERMAN MD
NPI 1467036442
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR # 8756, SAN DIEGO, CA 92103(619) 543-3543 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2022, May 6, 2021 (2 updates tracked since 2021).

About Dr. Austin-marley Windham-herman Md NPPES

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

DR. AUSTIN-MARLEY WINDHAM-HERMAN MD (NPI 1467036442) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2021).

NPPES Registry Identity

NPI1467036442
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AUSTIN-MARLEY WINDHAM-HERMANCredential: MD
Location Address200 W ARBOR DR # 8756San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # Mc8756San Diego, CA 92103-1911 · (619) 543-3543
Phone(619) 543-3543
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2021
Enumeration DateMay 6, 2021
Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1467036442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 W ARBOR DR # 8756, San Diego, CA 92103
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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

Dr. Austin-marley Windham-herman Md 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 ID4981004983
PECOS Enrollment IDI20251016004768
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.

Other Providers at the Same Location NPPES 6

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

NEAL CORSON
Radiology (Diagnostic Radiology)
200 W ARBOR DR # 8756
SAN DIEGO, CA 92103
San Diego County (619) 543-3534
DR. REBECCA RAKOW-PENNER
Radiology (Diagnostic Radiology)
200 W ARBOR DR # 8756
SAN DIEGO, CA 92103
San Diego County (650) 269-7132
DR. ALAN TSUYOSHI KURAMOTO M.D.
Radiology (Body Imaging)
200 W ARBOR DR # 8756
SAN DIEGO, CA 92103
San Diego County (619) 543-6607
DR. FARZANEH GHAZI SHERBAF MD
Radiology (Diagnostic Radiology)
200 W ARBOR DR # 8756
SAN DIEGO, CA 92103
San Diego County (619) 543-3543
CHRISTINE ELIZABETH BOONE MD, PHD
Radiology (Vascular & Interventional Radiology)
200 W ARBOR DR # 8756
SAN DIEGO, CA 92103
San Diego County (858) 657-7000
BRENDAN THOMAS CRABB MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8756
SAN DIEGO, CA 92103
San Diego County (619) 543-3534

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 Austin-marley Windham-herman's NPI number?

The NPI number for Austin-marley Windham-herman is 1467036442. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Austin-marley Windham-herman located?

Austin-marley Windham-herman practices at 200 W Arbor Dr # 8756, San Diego, CA 92103. The listed phone number is (619) 543-3543.

What is Austin-marley Windham-herman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Austin-marley Windham-herman enrolled in Medicare?

Yes. Austin-marley Windham-herman 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.

When was this NPI record last updated?

The NPPES record for Austin-marley Windham-herman was last updated on July 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.