1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Internal Medicine
  6. NPI Profile

DR. AV, PLLC
NPI 1902236003
Internal Medicine in Austin, TX

Active since November 26, 2013
210 LEE BARTON DR, UNIT # 206, AUSTIN, TX 78704(210) 787-6621(512) 904-5603 Get Directions Write a Review

NPPES record last updated: November 30, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Av, Pllc NPPES

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

DR. AV, PLLC (NPI 1902236003) is a healthcare organization registered as an internal medicine in Austin, Texas and active in the NPI registry since November 2013. The organization lists Aleksandra Vidacic, Healthcare Professional, as its authorized official.

NPPES Registry Identity

NPI1902236003
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDR. AV, PLLC
Location Address210 LEE BARTON DR, UNIT # 206Austin, TX 78704-1045
Mailing AddressPo Box 684905Austin, TX 78768-4905 · (210) 787-6621 · Fax (512) 904-5603
Phone(210) 787-6621
Fax(512) 904-5603
Organization SubpartNo
Authorized OfficialAleksandra VidacicHealthcare Professional · (210) 787-6621
Enumeration DateNovember 26, 2013
Last NPPES UpdateNovember 30, 2013
✔ NPI 1902236003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N4181
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
210 LEE BARTON DR, Austin, TX 78704
Open in Google Maps ↗

Other Names 1

Doing Business AsDr. Av, Pllc

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Av, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20140430000173Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Av, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Aleksandra Vidacic, MD
Internal Medicine
NPI 1629272224
120 E HARRIS AVE
San Angelo, TX 76903
(325) 653-6741
✔ PECOS✔ Accepts Medicare180 mi

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 Dr. Av, PLLC's NPI number?

The NPI number for Dr. Av, PLLC is 1902236003. It was assigned to this organization in the NPPES registry on November 26, 2013.

Where is Dr. Av, PLLC located?

Dr. Av, PLLC is located at 210 Lee Barton Dr Unit # 206, Austin, TX 78704. The listed phone number is (210) 787-6621.

What is Dr. Av, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dr. Av, PLLC enrolled in Medicare?

Yes. Dr. Av, PLLC is registered in the Medicare PECOS enrollment system.

When is Dr. Av, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr. Av, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dr. Av, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Av, PLLC was last updated on November 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.