DR. ANTHONY KENNETH TREVINO MD
NPI 1649274069
Radiology - Diagnostic Radiology in Austin, TX
NPI Status: Active since June 13, 2005
Contact Information
12554 RIATA VISTA CIR
AUSTIN, TX
ZIP 78727
Phone: (512) 795-5100
Fax: (512) 795-5122
- Individual
- Male
- Years of Experience 37
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ANTHONY TREVINO
This page provides the complete NPI Profile along with additional information for Anthony Trevino, a provider established in Austin, Texas with a medical specialization in Radiology, focusing in diagnostic radiology and more than 37 years of experience. He graduated from Baylor College Of Medicine in 1989. The healthcare provider is registered in the NPI registry with number 1649274069 assigned on June 2005. The practitioner's primary taxonomy code is 2085R0202X with license number H8468 (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1649274069
- Provider Name
- DR. ANTHONY KENNETH TREVINO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12554 RIATA VISTA CIR AUSTIN, TX 78727
- Location Phone
- (512) 795-5100
- Location Fax
- (512) 795-5122
- Mailing Address
- 12554 RIATA VISTA CIR AUSTIN, TX 78727
- Mailing Phone
- (512) 795-5100
- Mailing Fax
- (512) 795-5122
- Medical School Name
- BAYLOR COLLEGE OF MEDICINE
- Graduation Year
- 1989
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-13-2005
- Last Update Date
- 01-13-2015
- Code Navigator
Location Map
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H8468
- License State
- TX
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - 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 |
---|---|---|---|
300127505 | OTHER (01) | RRMCARE2 | |
138878715 | OTHER (01) | TX | CSHCN2 |
E83913 | MEDICARE UPIN (02) | ||
138878714 | OTHER (01) | TX | CSHCN1 |
138878708 | MEDICAID (05) | TX | |
88192N | MEDICARE PIN (08) | TX | |
300108019 | OTHER (01) | RRMCARE | |
138878709 | MEDICAID (05) | TX | |
82028R | MEDICARE PIN (08) | TX |
Medicare Participation & PECOS Enrollment Status
Anthony Trevino is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Anthony Trevino is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2961455878
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090619000311
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration of fluid from chest cavity using imaging guidance
Complete ultrasound scan behind abdominal cavity
Ct scan of abdomen and pelvis before and after contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of abdomen before and after contrast
Ct scan of abdomen with contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of chest without contrast
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
Diagnostic mammography of 1 breast
Diagnostic mammography of both breasts
Dxa bone density measurement of hip, pelvis, spine
Insertion of needle into vein for collection of blood sample
Limited ultrasound scan of 1 breast
Limited ultrasound scan of abdomen
Low dose ct scan of chest for lung cancer screening
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Review by radiologist of ct guidance for needle placement
Screening 3d breast mammography
Screening 3d breast mammography
Screening mammography
Screening mammography
Ultrasound of both sides of head and neck blood flow
Ultrasound scan of head and neck soft tissue
Ultrasound study of one arm or leg veins with compression and maneuvers
X-ray of abdomen, 1 view
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of chest, 2 views
X-ray of hip, 2-3 views
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 3 views
X-ray of knee, 3 views
X-ray of pelvis, 1-2 views
X-ray of shoulder, minimum of 2 views
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
This service was performed 13 times for 12 patientsA complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 13 times for 13 patientsA CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.
This service was performed 57 times for 57 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 86 times for 86 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 161 times for 154 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 60 times for 59 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 25 times for 24 patientsA CT scan of the abdomen before and after contrast is a diagnostic procedure. It involves taking detailed images of your abdomen area. Initially, images are taken without a contrast agent. Then, a contrast dye is given to highlight specific areas inside your body, helping to provide clearer images for better diagnosis.
This service was performed 15 times for 14 patientsA CT scan of the abdomen with contrast is a diagnostic procedure. A special dye (contrast) is introduced into your body to highlight certain areas in the images. The CT scanner uses X-rays to create detailed pictures of your abdomen, helping doctors diagnose conditions or monitor treatment.
This service was performed 12 times for 12 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 38 times for 38 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 47 times for 46 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 132 times for 125 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 46 times for 46 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 30 times for 30 patientsDiagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
This service was performed 34 times for 33 patientsDiagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
This service was performed 18 times for 18 patientsDiagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
This service was performed 22 times for 21 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 152 times for 152 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 63 times for 61 patientsA limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
This service was performed 26 times for 25 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 28 times for 28 patientsA low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
This service was performed 55 times for 55 patientsLow osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
This service was performed 5,375 times for 62 patientsThis process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.
This service was performed 14 times for 14 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 170 times for 170 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 16 times for 16 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 171 times for 171 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 17 times for 17 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 12 times for 12 patientsAn ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
This service was performed 24 times for 23 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 32 times for 31 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 44 times for 42 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 259 times for 247 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 49 times for 49 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 95 times for 94 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 15 times for 15 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 13 times for 13 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 15 times for 14 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 17 times for 15 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 16 times for 13 patientsAn X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
This service was performed 14 times for 14 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 13 times for 13 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.25 for a new patient copayment and $17.98 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78727 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.03
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $22.25
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.95
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $17.98
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anthony Trevino is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ST DAVID'S SOUTH AUSTIN MEDICAL CENTER | 901 WEST BEN WHITE BLVD AUSTIN, TX 78704 | (512) 448-7107 | Acute Care Hospitals | |
ROUND ROCK MEDICAL CENTER | 2400 ROUND ROCK AVE ROUND ROCK, TX 78681 | (512) 341-1000 | Acute Care Hospitals | |
ASCENSION SETON NORTHWEST | 11113 RESEARCH BOULEVARD AUSTIN, TX 78759 | (512) 324-6000 | Acute Care Hospitals | |
ASCENSION SETON WILLIAMSON | 201 SETON PARKWAY ROUND ROCK, TX 78664 | (512) 324-0000 | Acute Care Hospitals | |
CEDAR PARK REGIONAL MEDICAL CENTER | 1401 MEDICAL PARKWAY CEDAR PARK, TX 78613 | (512) 528-7000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 4 | 9 | 2 | 7 | 4 | 0 | 6 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 8 | 9 | 4 | 7 | 8 | 0 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 8 + 9 + 4 + 7 + 8 + 0 + 1 + 2 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1649274069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1174642839 | DR. TARIQ M. ALAM M.D. Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1245233519 | DR. GREGORY C KARNAZE MD Individual | Radiology (Vascular & Interventional Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1770585937 | DR. SARAH S. AVERY M.D. Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1457353625 | DR. MICHAEL D. ARONOFF MD Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1265436240 | DR. WILLIAM J. BANKS MD Individual | Radiology (Pediatric Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1700880549 | DR. GAEL LONERGAN MD Individual | Radiology (Pediatric Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1174527048 | DR. CHRIS BUTSCHEK MD Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1396749263 | DR. NEWELL DUTTON MD Individual | Radiology (Vascular & Interventional Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1376547158 | DR. DAVID GOLDBLATT M.D. Individual | Radiology (Neuroradiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1447254222 | DR. MARK B GRAY MD Individual | Radiology (Vascular & Interventional Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1588668370 | DR. MICHAEL G GUNLOCK Individual | Radiology (Vascular & Interventional Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1124022991 | DR. LAUREN BROWN MD Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1013911783 | DR. GREGORY CONNOR MD Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1174527022 | DR. LORI LEE BARR M.D. Individual | Radiology (Pediatric Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1841294790 | DR. HILLEL BEN-AVI MD Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1043214901 | DR. BRADLEY BRENNER MD Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1477557353 | DR. DAVID J FELDMAN Individual | Radiology (Neuroradiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1659375434 | DR. THOMAS FLETCHER M.D. Individual | Radiology (Vascular & Interventional Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1245234038 | DR. RONALD HOELSCHER MD Individual | Radiology (Diagnostic Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
1275537979 | DR. JOHN W KISH MD Individual | Radiology (Vascular & Interventional Radiology) | 12554 RIATA VISTA CIR AUSTIN, TX 78727 (512) 795-5100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649274069, enumerated in the NPI registry as an "individual" on June 13, 2005
The provider is located at 12554 Riata Vista Cir Austin, Tx 78727 and the phone number is (512) 795-5100
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 37 years of experience. He graduated from Baylor College Of Medicine in 1989.
The provider might be accepting Accepts: Aetna CVS Health, Baylor Scott and White Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $89.03 with an average copayment of $22.25 for new patient appointments. Established patients should expect a typical charge of $71.95 and an average copayment of 17.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration of fluid from chest cavity using imaging guidance, Complete ultrasound scan behind abdominal cavity, Ct scan of abdomen and pelvis before and after contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of abdomen before and after contrast, Ct scan of abdomen with contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of chest without contrast, Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066), Diagnostic mammography of 1 breast, Diagnostic mammography of both breasts, Dxa bone density measurement of hip, pelvis, spine, Insertion of needle into vein for collection of blood sample, Limited ultrasound scan of 1 breast, Limited ultrasound scan of abdomen, Low dose ct scan of chest for lung cancer screening, Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, Review by radiologist of ct guidance for needle placement, Screening 3d breast mammography, Screening 3d breast mammography, Screening mammography, Screening mammography, Ultrasound of both sides of head and neck blood flow, Ultrasound scan of head and neck soft tissue, Ultrasound study of one arm or leg veins with compression and maneuvers, X-ray of abdomen, 1 view, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of chest, 2 views, X-ray of hip, 2-3 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of knee, 3 views, X-ray of pelvis, 1-2 views and X-ray of shoulder, minimum of 2 views.
The practitioner is affiliated to the following hospital(s): ST DAVID'S SOUTH AUSTIN MEDICAL CENTER, ROUND ROCK MEDICAL CENTER, ASCENSION SETON NORTHWEST, ASCENSION SETON WILLIAMSON and CEDAR PARK REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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