Active NPI
Maya Krishnan
- Physician Assistant
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19577
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1500 Rivery Blvd
Suite 2215
Georgetown, TX 78628-3064
Phone (512) 688-5579
Hospital & facility affiliations
- Ascension Seton Cedar Park
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19577 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | 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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cedar Park, TX
- NPI 1376662296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.