Individual provider Active NPI

Maya Krishnan

  • Physician Assistant
  • Georgetown, TX
National Provider Identifier
1023970605
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19577 Issued in TX
Practice address
1500 Rivery Blvd Ste 2215
Georgetown, TX 78628-3065
Phone
(512) 688-5579
Fax
(512) 260-6080
NPI assigned
Dec 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19577 TX Primary
Oncology Clinic/Center 261QX0200X

Addresses

Primary practice location

1500 Rivery Blvd Ste 2215
Georgetown, TX 78628-3065

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

1401 Medical Pkwy Ste 200
Cedar Park, TX 78613-5026
Phone (512) 260-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223000023 TX Practitioner - Physician Assistant 5799270211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1500 Rivery Blvd
Suite 2215
Georgetown, TX 78628-3064
Phone (512) 688-5579

Hospital & facility affiliations

  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19577TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Dec 1, 2025 Accepting new patients
Texas Oncology PA CurrentSince Dec 1, 2025 Accepting new patients

Locations

1401 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 260-1581

1500 Rivery Blvd
Ste 2215
Georgetown, TX 78628
Phone (512) 687-2300

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1023970605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RIVERY BLVD STE 2215",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283065",
            "telephone_number": "512-688-5579",
            "fax_number": "512-260-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Medical Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786135026",
            "country_code": "US",
            "telephone_number": "512-260-6050",
            "fax_number": "512-605-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "MAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19577",
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.