Individual provider Active NPI

Rhyan Mardilla Pardilla, APRN-CNP

  • Acute Care Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1265235857
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1190038 Issued in TX
Practice address
4645 Sweetwater Blvd Ste 200
Sugar Land, TX 77479-3016
Phone
(713) 777-5334
NPI assigned
Mar 29, 2025
Last updated
Mar 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1190038 TX Primary

Addresses

Primary practice location

4645 Sweetwater Blvd Ste 200
Sugar Land, TX 77479-3016

Mailing address

4645 Sweetwater Blvd Ste 200
Sugar Land, TX 77479-3016
Phone (713) 777-5334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251128000085 TX Practitioner - Nurse Practitioner 9739671611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6565 Fannin St
Houston, TX 77030-2703

7550 Greenbriar Dr
Houston, TX 77030-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1190038TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 31, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 31, 2025 Accepting new patients
Houston Methodist Past Accepting new patients

Locations

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

16811 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 275-0450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1265235857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 SWEETWATER BLVD STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793016",
            "telephone_number": "713-777-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 SWEETWATER BLVD STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793016",
            "telephone_number": "713-777-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDILLA",
        "first_name": "RHYAN",
        "middle_name": "MARDILLA",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1190038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.