SOUTHWEST ORTHOPAEDIC GROUP
NPI 1699761494
Orthopaedic Surgery in Austin, TX
NPI Status: Active since September 27, 2005
Contact Information
5200 DAVIS LANE SUITE B200
AUSTIN, TX
ZIP 78749
Phone: (512) 451-1969
Fax: (512) 458-2327
- Organization
- Orthopaedic Surgery
- Accepts Insurance
- CLIA Number: 45D1005048
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-19-2026
About SOUTHWEST ORTHOPAEDIC GROUP
This page provides the complete NPI Profile along with additional information for Southwest Orthopaedic Group, a provider established in Austin, Texas operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1699761494 assigned on September 2005. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Southwest Orthopaedic Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Southwest Orthopaedic Group. The authorized official of this NPI record is Brian L Sullivan (Md)
- NPI
- 1699761494
- Provider Legal Name
- AUSTIN SOUTHWEST ORTHOPAEDIC GROUP, P.A.
- Other Organization Name
- SOUTHWEST ORTHOPAEDIC GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5200 DAVIS LANE SUITE B200 AUSTIN, TX 78749
- Location Phone
- (512) 451-1969
- Location Fax
- (512) 458-2327
- Mailing Address
- 7951 SHOAL CREEK BLVD STE 300 AUSTIN, TX 78757
- Mailing Phone
- (512) 584-8404
- Mailing Fax
- (512) 458-2327
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-27-2005
- Last Update Date
- 05-17-2024
- Code Navigator
Location Map
Secondary Locations
- 2 Saint Marks Pl Ste 130
LA Grange, TX 78945
(512) 451-1969 - 3101 Highway 71 E Ste 207
Bastrop, TX 78602
(512) 451-1969 - 815 Highway 71 Bldg 1, Suite 1150
Bastrop, TX 78602
(512) 451-1969
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2086S0105X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0824948-01 | MEDICAID (05) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1005048
- Facility Type
- Physician Office
- Certificate Effective Date
- July 20, 2024
- Certificate Expiration Date
- July 19, 2026
- Laboratory Director
- SOUHAIL A. ASFOURI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southwest Orthopaedic Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1699761494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 76 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699761494, enumerated as an "organization" on September 27, 2005.
The provider is located at 5200 DAVIS LANE SUITE B200 AUSTIN, TX 78749 and the phone number is (512) 451-1969.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc., Sendero Health Plans,. Please consult your insurance carrier or call the provider to verify.
