Individual provider Active NPI

Eric Edward Mahlmann

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1043807969
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18249 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
NPI assigned
Dec 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA18249 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

60 Harrison Dr
East Northport, NY 11731-1115
Phone (631) 786-2046

Other practice location 1

60 Harrison Dr
East Northport, NY 11731-1115
Phone (631) 786-2046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230228000462 FL Practitioner - Physician Assistant 0446623128 Reassigns benefits to 1 organization
I20241018002439 TX Practitioner - Physician Assistant 0446623128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

1201 W 38TH St
Austin, TX 78705-1006
Phone (281) 742-0469

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (713) 461-3573

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (713) 461-3573

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (713) 461-3573

3801 N Lamar Blvd
Austin, TX 78756-4080
Phone (713) 461-3573

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (713) 461-3573

6818 Austin Ctr Blvd
Suite 101
Austin, TX 78731-3199
Phone (512) 795-8505

901 W 38TH St
Suite 100
Austin, TX 78705-1164
Phone (512) 795-5100

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (713) 461-3573

919 E 32ND St
Austin, TX 78705-2703
Phone (713) 461-3573

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

Merit-based Incentive Payment System (MIPS)

Final score
90.9 of 100Reported as group
Quality
85.1
Improvement activities
40
Cost
80.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA18249TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Radiological Association CurrentSince Dec 1, 2024 Accepting new patients
Austin Radiological Association CurrentSince Dec 1, 2024 Accepting new patients
Imaging Associates of New Mexico LLC Past Accepting new patients
Community Radiology Associates P a Past Accepting new patients
Austin Radiological Association Past Accepting new patients

Locations

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831

5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407

Organizations & group practices 7

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 5

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": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1043807969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HARRISON DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311115",
            "telephone_number": "631-786-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Harrison Dr",
            "address_purpose": "LOCATION",
            "city": "East Northport",
            "state": "NY",
            "postal_code": "117311115",
            "country_code": "US",
            "telephone_number": "631-786-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHLMANN",
        "first_name": "ERIC",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.