Mithila Pramod Patki, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33550 Issued in TX

Practice address

11604 Sewickley CT
Austin, TX 78717-5079

Phone

(323) 327-6614

NPI assigned

Oct 24, 2017

Last updated

Nov 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr MP and Associates PLLC

  • Dentist
  • Austin, TX
  • NPI 1447016043
  NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1376055830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 SEWICKLEY CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175079",
            "telephone_number": "323-327-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11604 SEWICKLEY CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175079",
            "telephone_number": "323-327-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATKI",
        "first_name": "MITHILA",
        "middle_name": "PRAMOD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways to Serenity Counseling Connection, PLLC
• Pathwrite Inc. (Paragon Infusion Services)
• Pathwrite, Inc. (Paragon Infusion Services)
• Patients Premier Choice LLC
• Vaishalee Sanjay Patil, M.D.
• Deyanira Patlan, M.S., SLP-CFY
• Matthew Patocki, OT
• Cathryn E Paton, LCSW
• Patricia a. Gunter, M.D.
• Patricia Robus DDS PLLC

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.