WINDY A WYATT (DO) – Internal Medicine Physician, NPI 1356637805

WINDY A WYATT (DO) is a healthcare provider. based in Austin, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. Q2088 (TX). The NPI Number for WINDY A WYATT (DO) is 1356637805

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
WINDY A WYATT (DO)
NPI
1356637805
Phone
(512) 324-1864
Address
1301 W 38th St
Enumeration Date
23 June 2011
Last Update Date
10 April 2019

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2076211000
Graduation Year
2011 (15 years ago)
PAC ID
4284868191
Group Practice PAC ID
1254245715
Professional Enrollment ID
I20190408001843
Address ID
ME043308160AU35XXXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

13,297 INTERNAL MEDICINE in TX

Provider Addresses for WINDY A WYATT (DO)

  • 1301 W 38th St

    Suit 205

    Austin, TX 787051000

    Phone: (512) 324-1864

    Fax: (512) 419-9016

    Type: Location

  • 50 MARQUIS RD

    FREEPORT, ME 040326477

    Phone: (207) 865-6131

    Fax: (207) 865-9399

    Type: Mailing

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: 2019-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141210000558IHospitalistTXTBD
I20190408001843IInternal MedicineMETBD

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 78705)

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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: 1254245715View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to WINDY A WYATT (DO)?
NPI 1356637805 is assigned to WINDY A WYATT (DO) under the national enumeration system.
Is WINDY A WYATT (DO) currently active in the NPI registry?
CMS-published data lists WINDY A WYATT (DO) as an active registrant.
Does WINDY A WYATT (DO) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for WINDY A WYATT (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for WINDY A WYATT (DO)?
The page summarizes Austin, Texas for WINDY A WYATT (DO); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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