| Ishita Ghosh, MD | |
|
8901 Vertex Blvd Unit 100, Austin, TX 78747-2793 | |
| (512) 231-5150 | |
| (512) 406-6262 |
| Full Name | Ishita Ghosh |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 9 Years |
| Location | 8901 Vertex Blvd Unit 100, Austin, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538653035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | T2379 (Texas) | Primary |
| 208000000X | Pediatrics | MD475444 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Regional Clinic Pa | 3072507789 | 346 |
| Entity Name | Austin Regional Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Ishita Ghosh, MD 6210 E Hwy 290 Ste 420, Austin, TX 78723-1142 Ph: () - | Ishita Ghosh, MD 8901 Vertex Blvd Unit 100, Austin, TX 78747-2793 Ph: (512) 231-5150 |
Dr. Lorraine E. Powell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1912 W 35th St, Austin, TX 78703 Phone: 512-451-5161 Fax: 512-451-1258 | |
Alyssa Walden, Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 N. I-35, Suite 770, Austin, TX 78705 Phone: 478-301-2600 | |
Dr. Anusha Chinthaparthi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9835 N Lake Creek Pkwy, Austin, TX 78717 Phone: 832-826-1380 Fax: 832-825-2799 | |
Dr. Gurpreet Basraon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12201 Renfert Way Ste 105, Austin, TX 78758 Phone: 877-800-5722 | |
Elizabeth C. Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6835 Austin Center Blvd, Austin, TX 78731 Phone: 512-346-6611 Fax: 512-231-5204 | |
Scott A Broberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3816 S.1st St., Austin, TX 78704 Phone: 512-443-1311 Fax: 512-406-6266 | |
Roozbeh Taeed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4900 Mueller Blvd # 2h.012c, Austin, TX 78723 Phone: 512-324-3360 Fax: 512-380-7532 |