Active NPI 1821389636 Individual Practitioner Male Practitioner

Dr. Nadeem Ansari , DO

Internal Medicine • Austin, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nadeem Ansari, DO is a certified Internal Medicine practicing in Austin, TX. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Ansari delivers high-quality medical care to the local community at 7000 N MOPAC.

Dr. Ansari is affiliated with Capital Medical Clinic, Llp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7000 N Mopac
Suite 420

Austin, TX 787313027

Telephone 5124820045

Fax 5124769892

Associated Practice Facility / Clinic

🏢 Hospital Internists Of Austin, P.a. Facility NPI 1811922461

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austin, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -5.8 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

620 Specialists

Practicing in Austin, TX (9538 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ansari (15 Years) 15 Yrs

Austin Specialty Average (20.8 Years) 20.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	507	246	$16.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	228	$175.00	$126.52
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	417	235	$36.00	$7.59
80053 Blood test, comprehensive group of blood chemicals	400	231	$54.00	$10.32
83615 Lactate dehydrogenase (enzyme) level	350	222	$25.00	$5.92
82977 Glutamyltransferase (liver enzyme) level	340	219	$30.00	$7.06
84550 Uric acid level, blood	337	221	$22.00	$4.43
83036 Hemoglobin A1C level	316	213	$42.00	$9.49
80061 Blood test, lipids (cholesterol and triglycerides)	291	218	$73.00	$13.08
82306 Vitamin d-3 level	282	208	$120.00	$29.01
84443 Blood test, thyroid stimulating hormone (TSH)	262	221	$98.00	$16.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	237	156	$25.00	$16.21
82607 Cyanocobalamin (vitamin B-12) level	218	189	$100.00	$14.78
81003 Automated urinalysis test	205	170	$19.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	184	168	$78.00	$14.24
83540 Iron level	144	94	$28.00	$6.34
83550 Iron binding capacity	141	94	$38.00	$8.57
82728 Ferritin (blood protein) level	141	94	$85.00	$13.27
99213 Established patient office or other outpatient visit, typically 15 minutes	123	109	$140.00	$90.32
84439 Thyroxine (thyroid chemical), free	96	65	$39.00	$8.75
G0444 Annual depression screening, 5 to 15 minutes	88	88	$30.00	$19.11
81001 Manual urinalysis test with examination using microscope, automated	70	64	$23.00	$3.11
G0103 Prostate cancer screening; prostate specific antigen test (psa)	70	70	$85.00	$18.92
G0008 Administration of influenza virus vaccine	59	59	$35.00	$32.50
90662 Influenza vaccine split virus, preservative free	58	58	$89.74	$81.65
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	55	55	$325.00	$290.41
G0009 Administration of pneumococcal vaccine	55	55	$35.00	$32.50
84153 Psa (prostate specific antigen) measurement, total	55	50	$85.00	$18.02
71046 X-ray of chest, 2 views	31	29	$43.00	$23.95
80048 Blood test, basic group of blood chemicals (calcium, total)	31	23	$50.00	$8.29
77080 Dxa bone density measurement of hip, pelvis, spine	24	23	$150.00	$37.78
99441 Telephone medical discussion with physician, 5-10 minutes	23	22	$60.00	$56.52
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	20	13	$100.00	$62.50
84460 Liver enzyme (sgpt), level	19	16	$21.00	$5.19
84450 Liver enzyme (sgot), level	19	16	$20.00	$5.08
82247 Bilirubin level	19	16	$22.00	$4.92
84075 Phosphatase (enzyme) level, alkaline	19	16	$20.00	$5.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$258.00	$166.53
82746 Folic acid level	16	16	$100.00	$14.41
84481 Thyroid hormone, t3 measurement, free	15	12	$39.00	$16.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$200.00	$129.83
69209 Removal of impacted ear wax by washing	13	13	$80.00	$16.40
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	12	11	$35.00	$25.06
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	11	11	$60.00	$45.42
69210 Removal of impacted ear wax	11	11	$100.00	$48.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	450	217	$16.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	187	$175.00	$127.88
80053 Blood test, comprehensive group of blood chemicals	333	207	$54.00	$10.32
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	318	206	$36.00	$7.61
80061 Blood test, lipids (cholesterol and triglycerides)	283	199	$73.00	$13.07
83615 Lactate dehydrogenase (enzyme) level	257	183	$25.00	$5.90
82977 Glutamyltransferase (liver enzyme) level	245	177	$30.00	$7.03
84550 Uric acid level, blood	241	179	$22.00	$4.41
82306 Vitamin d-3 level	230	189	$120.00	$28.88
84443 Blood test, thyroid stimulating hormone (TSH)	229	192	$98.00	$16.46
83036 Hemoglobin A1C level	227	160	$42.00	$9.52
81001 Manual urinalysis test with examination using microscope, automated	218	162	$23.00	$3.10
82607 Cyanocobalamin (vitamin B-12) level	165	150	$100.00	$14.78
99213 Established patient office or other outpatient visit, typically 15 minutes	164	131	$140.00	$89.93
93000 Routine ekg using at least 12 leads including interpretation and report	146	136	$78.00	$14.51
G0444 Annual depression screening, 5 to 15 minutes	136	136	$30.00	$18.81
84439 Thyroxine (thyroid chemical), free	89	68	$39.00	$8.65
90662 Influenza vaccine split virus, preservative free	79	79	$72.66	$69.50
82728 Ferritin (blood protein) level	78	62	$85.00	$13.36
G0008 Administration of influenza virus vaccine	78	78	$35.00	$30.91
83550 Iron binding capacity	74	61	$38.00	$8.57
G0103 Prostate cancer screening; prostate specific antigen test (psa)	56	56	$85.00	$18.92
83540 Iron level	53	46	$28.00	$6.34
99441 Telephone medical discussion with physician, 5-10 minutes	47	44	$60.00	$56.40
84153 Psa (prostate specific antigen) measurement, total	37	35	$85.00	$18.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$258.00	$167.09
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	35	12	$140.00	$42.02
71046 X-ray of chest, 2 views	35	30	$43.00	$24.79
77080 Dxa bone density measurement of hip, pelvis, spine	28	28	$150.00	$39.30
G0009 Administration of pneumococcal vaccine	27	27	$35.00	$30.91
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$325.00	$282.35
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	27	13	$50.00	$47.49
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	27	18	$100.00	$62.43
90471 Administration of 1 vaccine	25	25	$35.00	$19.89
80048 Blood test, basic group of blood chemicals (calcium, total)	21	20	$50.00	$8.29
82247 Bilirubin level	18	17	$22.00	$4.92
84450 Liver enzyme (sgot), level	18	17	$20.00	$5.08
84460 Liver enzyme (sgpt), level	18	17	$21.00	$5.19
84075 Phosphatase (enzyme) level, alkaline	18	17	$20.00	$5.08
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$95.00	$90.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$160.00	$52.85
82746 Folic acid level	15	15	$100.00	$14.41
83735 Magnesium level	15	12	$40.00	$6.13
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	14	12	$140.00	$133.49
0134A Fee covid-19 vac 14 res	13	13	$50.00	$41.22
84481 Thyroid hormone, t3 measurement, free	13	12	$39.00	$16.60
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$395.00	$159.74
91313 Coronavirus vaccine 14	13	13	$0.01	$0.01
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	12	12	$35.00	$25.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	205	$175.00	$129.08
36415 Insertion of needle into vein for collection of blood sample	221	154	$16.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	162	138	$36.00	$7.65
80053 Blood test, comprehensive group of blood chemicals	151	131	$54.00	$10.40
80061 Blood test, lipids (cholesterol and triglycerides)	141	125	$73.00	$13.19
83036 Hemoglobin A1C level	126	108	$42.00	$9.57
G0444 Annual depression screening, 5 to 15 minutes	120	120	$30.00	$19.00
84443 Blood test, thyroid stimulating hormone (TSH)	115	111	$98.00	$16.55
83615 Lactate dehydrogenase (enzyme) level	115	102	$25.00	$5.96
84550 Uric acid level, blood	110	102	$22.00	$4.46
82306 Vitamin d-3 level	108	100	$120.00	$29.17
82977 Glutamyltransferase (liver enzyme) level	107	97	$30.00	$7.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$258.00	$167.28
99213 Established patient office or other outpatient visit, typically 15 minutes	92	86	$120.00	$89.85
93000 Routine ekg using at least 12 leads including interpretation and report	89	85	$78.00	$14.51
82607 Cyanocobalamin (vitamin B-12) level	82	82	$100.00	$14.88
81001 Manual urinalysis test with examination using microscope, automated	56	51	$23.00	$3.13
90662 Influenza vaccine split virus, preservative free	54	54	$70.00	$68.41
G0008 Administration of influenza virus vaccine	53	53	$35.00	$30.31
84439 Thyroxine (thyroid chemical), free	51	50	$39.00	$8.88
G0103 Prostate cancer screening; prostate specific antigen test (psa)	41	41	$85.00	$19.05
99441 Telephone medical discussion with physician, 5-10 minutes	37	36	$60.00	$57.09
80048 Blood test, basic group of blood chemicals (calcium, total)	26	19	$50.00	$8.34
90471 Administration of 1 vaccine	24	22	$35.00	$17.28
82728 Ferritin (blood protein) level	20	19	$85.00	$13.37
84153 Psa (prostate specific antigen) measurement, total	19	19	$100.00	$18.14
71046 X-ray of chest, 2 views	19	19	$43.00	$24.85
0134A Fee covid-19 vac 14 res	18	18	$50.00	$40.15
91313 Coronavirus vaccine 14	18	18	$0.01	$0.01
81003 Automated urinalysis test	17	17	$19.00	$2.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$160.00	$53.75
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	14	$100.00	$43.27
83550 Iron binding capacity	12	11	$38.00	$8.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	201	98	$184.00	$104.18
99239 Hospital discharge day management, more than 30 minutes	196	192	$191.00	$107.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	166	165	$358.00	$201.88
99217 Hospital observation care on day of discharge	139	138	$130.00	$73.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	120	86	$129.00	$72.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	89	$172.20	$132.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	102	102	$196.00	$149.21
99441 Telephone medical discussion with physician, 5-10 minutes	51	51	$60.00	$55.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$228.00	$137.96
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$117.10	$94.48
36415 Insertion of needle into vein for collection of blood sample	36	34	$16.00	$2.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$197.69	$185.88
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	30	$36.00	$7.51
80053 Blood test, comprehensive group of blood chemicals	24	24	$54.00	$10.12
84550 Uric acid level, blood	23	23	$22.00	$4.36
83615 Lactate dehydrogenase (enzyme) level	22	22	$25.00	$5.81
82977 Glutamyltransferase (liver enzyme) level	21	21	$30.00	$7.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$256.13	$170.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$139.00	$101.36
71046 X-ray of chest, 2 views	13	13	$43.00	$23.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$241.00	$128.56
84443 Blood test, thyroid stimulating hormone (TSH)	12	12	$98.00	$16.80
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$200.00	$41.46
81001 Manual urinalysis test with examination using microscope, automated	12	12	$23.00	$3.17
83036 Hemoglobin A1C level	11	11	$42.00	$9.71
82607 Cyanocobalamin (vitamin B-12) level	11	11	$100.00	$15.08
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$49.00	$16.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	575	246	$184.00	$104.65
99239 Hospital discharge day management, more than 30 minutes	375	359	$191.00	$107.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	372	135	$129.15	$72.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	213	212	$241.00	$136.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	152	149	$358.00	$202.10
99221 Initial hospital inpatient care per day, typically 30 minutes	40	40	$179.00	$102.57
99291 Critical care, first 30-74 minutes	13	12	$392.00	$222.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	469	198	$129.00	$71.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	460	213	$184.00	$100.71
99239 Hospital discharge day management, more than 30 minutes	322	315	$191.00	$106.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	144	143	$358.00	$199.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	125	$241.00	$134.98
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$179.00	$100.41
99220 Hospital observation care, typically 70 minutes	18	18	$329.00	$184.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	645	214	$144.53	$72.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	325	155	$238.98	$102.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	113	$456.37	$198.81
99239 Hospital discharge day management, more than 30 minutes	98	96	$230.22	$106.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$252.00	$154.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	78	78	$16.62	$8.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	53	$271.41	$133.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	19	$24.00	$8.01
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	13	$24.00	$11.76
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$180.29	$100.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	634	286	$281.01	$101.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	479	236	$189.94	$70.18
99239 Hospital discharge day management, more than 30 minutes	171	168	$295.11	$105.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	159	$550.88	$196.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	95	90	$307.89	$130.98
99291 Critical care, first 30-74 minutes	40	37	$614.55	$217.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	39	$22.72	$8.28
99220 Hospital observation care, typically 70 minutes	36	36	$510.00	$181.47
99217 Hospital observation care on day of discharge	25	25	$200.00	$71.31
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	17	$24.00	$11.48

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q0217

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX BP10039978

Hospital & Practice Group Affiliations

Capital Medical Clinic, Llp

1004 W 32nd St, Austin, TX 787051914

Phone: 5124545171

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Emily Beddingfield , ACNS-BC

Clinical Nurse Specialist

NPI 1003161894

ACNSBC

Dr. Grace Grant-Jennings , MD

Internal Medicine

NPI 1003816422

Doctor of Medicine (M.D.)

Dr. Maryam Saif , MD

Internal Medicine

NPI 1043246226

Doctor of Medicine (M.D.)

Samara Mcwilliams

Nurse Practitioner

NPI 1053868661

Dr. Miguel Alvarado , MD

Internal Medicine

NPI 1083058358

Doctor of Medicine (M.D.)

Dr. Zenebe Debela , MD

Internal Medicine

NPI 1093093874

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2014

Registered at 7000 N MOPAC, SUITE 420, AUSTIN, TX 787313027 (Tel: 5124820045)

📍

Updated Business Mailing Address September 09, 2014

Registered at 7000 N MOPAC, SUITE 420, AUSTIN, TX 787313027 (Tel: 5124820045)

👤

Provider Name / Credentials Updated September 09, 2014

Recorded as NADEEM ANSARI, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2014

Internal Medicine (License #Q0217 in TX)

🟢

Initial NPI Registration & Enumeration April 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Nadeem Ansari. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821389636

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 27, 2011

Last Update: September 09, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7000 N Mopac, Suite 420

Austin, TX 787313027

Phone: 5124820045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.