MICHAEL W MOUW (M.D.) – Emergency Medicine Physician, NPI 1063479376

MICHAEL W MOUW (M.D.) is a healthcare provider. based in Austin, Texas. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. G5410 (TX). The NPI Number for MICHAEL W MOUW (M.D.) is 1063479376

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL W MOUW (M.D.)
NPI
1063479376
Phone
Not provided
Address
5616 BALLENTON LN
Enumeration Date
28 April 2006
Last Update Date
19 May 2010

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
5057278000
Graduation Year
1983 (43 years ago)
PAC ID
9234117268
Group Practice PAC ID
7416259445
Professional Enrollment ID
I20181004002061
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL W MOUW (M.D.)

  • 5616, Ballenton Lane, Circle C On The Park, Austin, Travis County, Texas, 78739, United States

    AUSTIN, TX 787391742

    Phone:

    Type: Mailing

  • 601, East 15th Street, Medical District, Austin, Travis County, Texas, 78701, United States

    AUSTIN, TX 787011930

    Phone: (512) 324-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040707001495IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78739)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416259445View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MICHAEL W MOUW (M.D.) in the U.S.?
In the U.S., MICHAEL W MOUW (M.D.) is identified by NPI 1063479376.
Is MICHAEL W MOUW (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL W MOUW (M.D.) as active.
What type of care does MICHAEL W MOUW (M.D.) provide?
MICHAEL W MOUW (M.D.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL W MOUW (M.D.)?
MICHAEL W MOUW (M.D.) shows a connection to Austin, Texas in registry-derived data.
Why is information missing for MICHAEL W MOUW (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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