AUSTIN DIAGNOSTIC CLINIC, PA
NPI 1487632618
Internal Medicine - Hematology & Oncology in Austin, TX

Q: What is Austin Diagnostic Clinic, PA's NPI number?

The NPI number for Austin Diagnostic Clinic, PA is 1487632618. It was assigned to this organization in the NPPES registry on January 6, 2006.

Q: What is Austin Diagnostic Clinic, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since January 06, 2006

12221 N MO PAC EXPY, DEPT OF HEMATOLOGY/ONCOLOGY, AUSTIN, TX 78758(512) 901-4008(512) 901-3908 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Austin Diagnostic Clinic, Pa NPPES

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

AUSTIN DIAGNOSTIC CLINIC, PA (NPI 1487632618) is a healthcare organization registered as a hematology & oncology in Austin, Texas and active in the NPI registry since January 2006. The organization lists Ellen M Andrew, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1487632618

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameAUSTIN DIAGNOSTIC CLINIC, PA

Location Address12221 N MO PAC EXPY, DEPT OF HEMATOLOGY/ONCOLOGYAustin, TX 78758-2483

Mailing Address12221 N Mo Pac Expy, Dept Of Hematology/oncologyAustin, TX 78758-2483 · (512) 901-4008 · Fax (512) 901-3908

Phone(512) 901-4008

Fax(512) 901-3908

Organization SubpartNo

Authorized OfficialEllen M AndrewCredentialing Specialist · (512) 901-4937

Enumeration DateJanuary 6, 2006

Last NPPES UpdateNovember 15, 2010

✔ NPI 1487632618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedPhysician AssistantTaxonomy 363A00000X

12221 N MO PAC EXPY, Austin, TX 78758

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Other Identifiers 3

Medicaid140347921TX

Medicare PIN00DG65TX

Medicare PIN0807840001TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Austin Diagnostic Clinic, Pa 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 Austin Diagnostic Clinic, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 81 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

Nancy Dasso, FNP

Nurse Practitioner

NPI 1245287150

12221 MOPAC EXPRESSWAY NORTH
Austin, TX 78758

(512) 901-4009

✔ PECOS✔ Accepts MedicareSame address

Ramani Perla, MD

Internal Medicine

NPI 1548558307