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RADHIKA PATEL NAYAK FNP
NPI 1679855795
Nurse Practitioner - Family in Austin, TX

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment
5929 BALCONES DR STE 303, AUSTIN, TX 78731(512) 420-9900(512) 420-9944 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Apr 6, 2023, Nov 10, 2022 and 1 more (4 updates tracked since 2022).

About Radhika Patel Nayak Fnp NPPES

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

RADHIKA PATEL NAYAK FNP (NPI 1679855795) is an individual family provider in Austin, Texas, licensed in Texas (713668) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679855795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRADHIKA PATEL NAYAKCredential: FNP
Location Address5929 BALCONES DR STE 303Austin, TX 78731-4286
Mailing Address5929 Balcones Dr Ste 303Austin, TX 78731-4286 · (512) 420-9900 · Fax (512) 420-9944
Phone(512) 420-9900
Fax(512) 420-9944
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 14, 2011
Last NPPES UpdateMay 3, 20244 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1679855795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 713668
5929 BALCONES DR STE 303, Austin, TX 78731
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

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

Radhika Patel Nayak Fnp 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 ID4183866239
PECOS Enrollment IDI20130820000457
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
192 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers45 claims45 services$32.88 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers28 claims28 services$76.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers25 claims73 services$28.17 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers17 claims93 services$15.14 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers12 claims69 services$11.68 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers34 claims34 services$45.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JULIE PITMAN RPSGT, CCSH, RST
Specialist/Technologist, Other
5929 BALCONES DR STE 303
AUSTIN, TX 78731
Travis County (512) 420-9900
SLEEP MEDICINE CONSULTANTS OF CENTRAL TEXAS, PLLC
Clinic/Center (Sleep Disorder Diagnostic)
5929 BALCONES DR STE 303
AUSTIN, TX 78731
Travis County (512) 420-9900
MADISON HALEY VICK FNP-C
Nurse Practitioner
5929 BALCONES DR STE 303
AUSTIN, TX 78731
Travis County (512) 420-9900
MONIQUE SOMMER MULVANY N.P
Nurse Practitioner (Family)
5929 BALCONES DR STE 303
AUSTIN, TX 78731
Travis County (512) 420-9900
DR. BHAVIM DESAI M.D.
Family Medicine (Sleep Medicine)
5929 BALCONES DR STE 303
AUSTIN, TX 78731
Travis County (512) 697-9896

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 Radhika Nayak's NPI number?

The NPI number for Radhika Nayak is 1679855795. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Radhika Nayak located?

Radhika Nayak practices at 5929 Balcones Dr Ste 303, Austin, TX 78731. The listed phone number is (512) 420-9900.

What is Radhika Nayak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Radhika Nayak enrolled in Medicare?

Yes. Radhika Nayak 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.

What insurance does Radhika Nayak accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Radhika Nayak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Radhika Nayak affiliated with any hospitals?

According to CMS data, Radhika Nayak is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Radhika Nayak was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.