DR. AUSTIN REID PERALTA-FOGLE MD
NPI 1619617404
Student in an Organized Health Care Education/Training Program in Austin, TX

Q: What is Austin Peralta-fogle's NPI number?

The NPI number for Austin Peralta-fogle is 1619617404. It was assigned to this individual provider in the NPPES registry on March 30, 2022. The provider is also known as Austin Reid Fogle.

Q: What is Austin Peralta-fogle'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 March 30, 2022PECOS Enrolled

1501 RED RIVER ST FL 2, AUSTIN, TX 78712(512) 495-5555 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Austin Reid Peralta-fogle Md NPPES

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

DR. AUSTIN REID PERALTA-FOGLE MD (NPI 1619617404) is an individual student in an organized health care education/training program in Austin, Texas and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619617404

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. AUSTIN REID PERALTA-FOGLECredential: MD

Location Address1501 RED RIVER ST FL 2Austin, TX 78712-1845

Mailing Address1400 N Ih 35 Ste 2.230Austin, TX 78701-1926 · (512) 324-8235

Phone(512) 495-5555

Sole ProprietorNo

Enumeration DateMarch 30, 2022

Last NPPES UpdateJuly 4, 2023

NPPES CertifiedJuly 4, 2023

✔ NPI 1619617404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License BP10082772 (TX)

1501 RED RIVER ST FL 2, Austin, TX 78712

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Other Names 1

Former Name (1)Austin Reid Fogle

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Austin Reid Peralta-fogle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

DR. KEVIN ANDERSON MD

Family Medicine