PAI PARTICIPANT 9 PA
NPI 1679135420
Internal Medicine - Geriatric Medicine in Elgin, TX

Active since July 02, 2019
1373 N AVENUE C, ELGIN, TX 78621(512) 285-2457 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Dec 13, 2024, Aug 11, 2020 and 1 more (4 updates tracked since 2019).

About Pai Participant 9 Pa NPPES

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

PAI PARTICIPANT 9 PA (NPI 1679135420) is a healthcare organization registered as a geriatric medicine in Elgin, Texas and active in the NPI registry since July 2019. The organization lists Brittain Brantley, Acting President, as its authorized official.

NPPES Registry Identity

NPI1679135420
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePAI PARTICIPANT 9 PA
Location Address1373 N AVENUE CElgin, TX 78621-1528
Mailing AddressPo Box 639676Cincinnati, OH 45263-9676 · (859) 291-4800
Organization SubpartNo
Authorized OfficialBrittain BrantleyActing President · (302) 300-5138
Enumeration DateJuly 2, 2019
Last NPPES UpdateAugust 13, 20264 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1679135420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1373 N AVENUE C, Elgin, TX 78621

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pai Participant 9 Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Pai Participant 9 PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Internal Medicine3
Geriatric Medicine1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1174194864
4207 BURNET RD
Austin, TX 78756
(512) 706-1900
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1265319396
328 BARBERRY PARK
Driftwood, TX 78619
(602) 318-3302
✔ PECOS✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1669021184
4800 MEMORIAL DR
Waco, TX 76711
(254) 297-3000
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1396106811
8811 VILLAGE DR
San Antonio, TX 78217
(210) 297-2000
✔ PECOS✔ Accepts Medicare105 mi
Nurse Practitioner
NPI 1871451435
1830 S FOSTER RD
San Antonio, TX 78220
(210) 837-8126
✔ PECOS✔ Accepts Medicare106 mi
Nurse Practitioner
NPI 1750079497
9014 TIMBER PATH
San Antonio, TX 78250
(188) 866-0442
✔ PECOS✔ Accepts Medicare118 mi
Nurse Practitioner
NPI 1457669210
4500 S LANCASTER RD
Dallas, TX 75216
(214) 857-1975
✔ PECOS✔ Accepts Medicare158 mi
Geriatric Medicine
NPI 1932424769
1341 W MOCKINGBIRD LN STE 600W
Dallas, TX 75247
(214) 531-7813
✔ PECOS✔ Accepts Medicare167 mi
Internal Medicine
NPI 1275888216
2600 S MICHIGAN AVE STE 305
Chicago, IL 60616
(312) 371-7951
✔ PECOS946 mi
Internal Medicine
NPI 1962744573
407 ULUNIU ST FL 4
Kailua, HI 96734
(707) 709-6663
✔ PECOS3,789 mi
Internal Medicine
NPI 1174558605
1301 W 38TH ST, #205
Austin, TX 78705
(512) 324-1864
✔ PECOS✔ Accepts Medicare

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 Pai Participant 9 PA's NPI number?

The NPI number for Pai Participant 9 PA is 1679135420. It was assigned to this organization in the NPPES registry on July 2, 2019.

Where is Pai Participant 9 PA located?

Pai Participant 9 PA is located at 1373 N Avenue C, Elgin, TX 78621. The listed phone number is (512) 285-2457.

What is Pai Participant 9 PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Pai Participant 9 PA enrolled in Medicare?

Yes. Pai Participant 9 PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pai Participant 9 PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Pai Participant 9 PA. 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 (7), Internal Medicine (3) and Geriatric Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pai Participant 9 PA was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.