MEDICARE: AUSTIN CRITICAL CARE SPECIALISTS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447435805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN CRITICAL CARE SPECIALISTS PA

Provider Business Mailing Address
First Line	:	4535 DRESSLER RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2545
Country	:	US
Telephone Number	:	844-474-4019
Fax Number	:	844-474-4019

Provider Business Practice Location Address
First Line	:	11113 RESEARCH BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5236
Country	:	US
Telephone Number	:	844-474-4019
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAM S. ROBERTS III
Credential	:	MD
Telephone Number	:	330-493-4443

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	04/03/2025

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