Active NPI
Ummal B Mahuwala, PA-C
- Physician Assistant
- Dallas, TX
National Provider Identifier
1124395025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07548
- Practice address
- 1251 E Red Bird LN
Dallas, TX 75241-2008 - Phone
- (214) 374-0827
- Fax
- (214) 374-0927
- NPI assigned
- Nov 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT06509 | TX | |
| Physician Assistant | 363A00000X | PA07548 | TX | Primary |
Addresses
Primary practice location
1251 E Red Bird LN
Dallas, TX 75241-2008
Mailing address
1251 E Red Bird LN
Dallas, TX 75241-2008
Phone (214) 374-0827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT06509 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterstone Wellness, PLLC | Past | Accepting new patients | |
| Redbird Wellness PLLC | Past | Accepting new patients | |
| Medcare House Calls LLC | Past | Accepting new patients | |
| Premier Diabetes Endocrinology, PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19764/brand/1/csg/1/fhir/r4
- umahuwala33413@direct.phhs.org
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Dallas, TX
- NPI 1265694343
-
- Medical Specialty Clinic/Center
- Carrollton, TX
- NPI 1275698532
-
- Family Medicine Physician
- Dallas, TX
- NPI 1285064774
-
- Internal Medicine Physician
- Duncanville, TX
- NPI 1396250221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1124395025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 E RED BIRD LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752412008",
"telephone_number": "214-374-0827",
"fax_number": "214-374-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 E RED BIRD LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752412008",
"telephone_number": "214-374-0827",
"fax_number": "214-374-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHUWALA",
"first_name": "UMMAL",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-20",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT06509",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.