COMPREHENSIVE ENT CENTER OF TEXAS – Otolaryngology Physician, NPI 1780709675
Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COMPREHENSIVE ENT CENTER OF TEXAS
1401 Philomena St Ste 175
Austin, TX 787233574
Phone: (512) 478-2273
Fax: (512) 472-0921
Type: Location
1115 Westinghouse Rd Ste 100
Georgetown, TX 786263283
Phone: (512) 478-2273
Fax: (512) 472-0921
Type: Location
1502 Blue Ridge Dr Ste 201
Georgetown, TX 786261002
Phone: (512) 478-2273
Fax: (512) 472-0921
Type: Location
3607 MANOR RD
#101
AUSTIN, TX 78723
Phone: (512) 478-2273
Fax: (512) 472-0921
Type: Mailing
3607 MANOR RD STE 101
AUSTIN, TX 787235818
Phone: (512) 478-2273
Fax: (512) 472-0921
Type: Location
701 E FM 1626 STE 204
AUSTIN, TX 787482892
Phone: (512) 478-2273
Fax: (512) 472-0921
Type: Mailing
1401 PHILOMENA ST STE 100
AUSTIN, TX 787233574
Phone: (512) 478-2273
Fax: (512) 472-0921
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: 2008-02-13
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 |
|---|---|---|---|---|
| O20080213000703 | 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 78723)
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