Active NPI
Mayada Ali, MD
- Family Medicine Physician
- Round Rock, TX
National Provider Identifier
1184039489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R1490
- Practice address
- 1000 Gattis School Rd Ste 130
Round Rock, TX 78664-2562 - Phone
- (512) 649-0996
- Fax
- (512) 387-3555
- NPI assigned
- Jun 25, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R1490 | TX | Primary |
Addresses
Primary practice location
1000 Gattis School Rd Ste 130
Round Rock, TX 78664-2562
Mailing address
1000 Gattis School Rd Ste 130
Round Rock, TX 78664-2562
Phone (512) 649-0996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374307208 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | office@bluebonnetprimarycare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 Gattis School Rd
Suite 130
Round Rock, TX 78664-2562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1490 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeway Era Acquistion Partners LLC | Past | Accepting new patients | |
| Westlake Complete Care LLC | Past | Accepting new patients | |
| 22250 Bulverde Cec Fossil Creek LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12515/brand/6/csg/1/fhir/r4
- mayada.ali.1@20143.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Emergency Care Clinic/Center
- San Antonio, TX
- NPI 1740603422
-
- Emergency Care Clinic/Center
- Lakeway, TX
- NPI 1093165631
-
- Emergency Care Clinic/Center
- Austin, TX
- NPI 1497115539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1184039489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GATTIS SCHOOL RD STE 130",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642562",
"telephone_number": "512-649-0996",
"fax_number": "512-387-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GATTIS SCHOOL RD STE 130",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642562",
"telephone_number": "512-649-0996",
"fax_number": "512-387-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MAYADA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R1490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374307208",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "office@bluebonnetprimarycare.com",
"affiliation": "N",
"endpointDescription": "business email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1000 Gattis School Rd Ste 130",
"city": "Round Rock",
"state": "TX",
"country_code": "US",
"postal_code": "786642562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.