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

Q: 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.

Q: 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.

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: September 27, 2026.

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

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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 5

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

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