NPIMap

Organization Active NPI

Live Well Medical Care PLLC

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1225525843
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P3120
Legal business name
LIVE WELL MEDICAL CARE PLLC
Practice address
150 Pine Forest Dr BLDG 8
Ste 802
Shenandoah, TX 77384-5304
Phone
(281) 819-7869
Fax
(832) 730-4494
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Dr. Madhavi Machineni, MDNPI 1992930929
Title
Ceo
Phone
(214) 906-0204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P3120 Primary

Addresses

Primary practice location

150 Pine Forest Dr BLDG 8
Ste 802
Shenandoah, TX 77384-5304

Mailing address

PO Box 8398
Spring, TX 77387-8398
Phone (281) 819-7869

Other practice location 1

17201 Interstate 45 S
Shenandoah, TX 77385-3311
Phone (936) 270-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180522000759 TX Part B Supplier - Clinic/Group Practice 9931464914 Receives reassigned benefits from 9 practitioners
Practice locations: Conroe, TX; Humble, TX; Shenandoah, TX; The Woodlands, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1225525843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8398",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773878398",
            "telephone_number": "281-819-7869",
            "fax_number": "832-730-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR BLDG 8",
            "address_2": "STE 802",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845304",
            "telephone_number": "281-819-7869",
            "fax_number": "832-730-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17201 Interstate 45 S",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773853311",
            "country_code": "US",
            "telephone_number": "936-270-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVE WELL MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "MACHINENI",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-906-0204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "P3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.