Peninnah Maina

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1114135 Issued in TX

Practice address

1213 E Trinity Mills Rd Ste 173
Carrollton, TX 75006-1446

Phone

(972) 962-1296

NPI assigned

Jan 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Las Colinas Hospital, Irving, TX, CCN 450822

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.519005
• Direct secure messaging: pmaina@montgomerymedical.gwaydirect.com

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.

• Oak Street Health of Texas, PLLC

  • Primary Care Clinic/Center
  • Fort Worth, TX
  • NPI 1497387419

  Family

  Medicare reassignment Care Compare group NPD
• Montgomery Medical Associates, P.C.

  • Specialist
  • Rockville, MD
  • NPI 1760432462

  DC

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Columbia Medical Center of Las Colinas Inc

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1902857766
  Care Compare affiliation

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1205466109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507542",
            "telephone_number": "301-279-2779",
            "fax_number": "240-403-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 E TRINITY MILLS RD STE 173",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061446",
            "telephone_number": "972-962-1296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10110 Molecular Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208507542",
            "country_code": "US",
            "telephone_number": "301-279-2779",
            "fax_number": "240-403-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAINA",
        "first_name": "PENINNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1114135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahesh Gondi D.M.D. PLLC
• Mahmood B. Panjwani M.D, P.a.
• Mahmood B. Panjwani MD PA
• Le Thanh Vy Mai, RD, LD
• John Maina
• Mainmedplus
• Mainmedplus PLLC
• Mainmedplus PLLC
• Majestic Healthcare, Inc.
• Miklos Major II, FNP

• Family Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.

Verify at the official NPI Registry.