Provider Type Icon

ANDREW JOSEPH KIENSTRA MD NPI 1144300419


NPI Information

NPI: 1144300419
Provider Name: ANDREW JOSEPH KIENSTRA, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
4900 MUELLER BLVD
AUSTIN, TX
ZIP 78723
Phone: (512) 324-0000
Get Directions

Andrew Joseph Kienstra, MD is a pediatric emergency medicine pediatrics in Austin, TX. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Andrew Joseph Kienstra, MD NPI is 1144300419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4900 MUELLER BLVD
AUSTIN, TX
ZIP 78723-303
Phone: (512) 324-0000
Fax: (512) 380-7551

The NPI 1144300419 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0204XPediatricsPediatric Emergency MedicineL1093TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G92957MEDICARE UPIN
28957K3MEDICARE ID-TYPE UNSPECIFIED
3047555001MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.