Harbor Health Medical Group – Family Medicine Physician, NPI 1396486619
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Harbor Health Medical Group
911 W 38th St Ste 101
Austin, TX 787059918
Phone: (855) 481-8375
Type: Location
177 Kirkham Cir
Kyle, TX 786409703
Phone: (855) 841-8375
Type: Location
505 W Louis Henna Blvd Ste 100
Austin, TX 787281702
Phone: (855) 481-8375
Type: Location
4879 Williams Dr Ste 103
Georgetown, TX 786332436
Phone: (855) 481-8375
Type: Location
507 Calles St
Austin, TX 787023954
Phone: (855) 481-8375
Type: Location
455 University Blvd Ste 400
Round Rock, TX 786651076
Phone: (855) 481-8375
Type: Location
455 University Blvd
Ste 400
austin, TX 78705
Phone: (855) 481-8375
Type: Location
511 Oakwood Blvd Ste 200
Round Rock, TX 786814068
Phone: (855) 481-8375
Type: Location
701 E Fm 1626 Ste 100
Austin, TX 787486075
Phone: (855) 481-8375
Type: Location
2200 Park Bend Dr Ste 204
Austin, TX 787585387
Phone: (855) 481-8375
Type: Location
907 S CONGRESS AVE
AUSTIN, TX 787041777
Phone: (847) 732-3798
Type: Mailing
3908 AVENUE B STE 204
AUSTIN, TX 787514515
Phone: (855) 481-8375
Type: Mailing
500 N CAPITAL OF TEXAS HWY STE 125
AUSTIN, TX 787463302
Phone: (855) 481-8375
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: 2022-08-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220831000589 | O | Clinic/Group Practice | TX | TBD |
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.
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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Reviews
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