Organization Active NPI

Maya Health Services LLC

  • Family Nurse Practitioner
  • Euless, TX
National Provider Identifier
1386309607
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MAYA HEALTH SERVICES LLC
Practice address
350 Westpark Way Ste 223
Euless, TX 76040-3758
Phone
(817) 283-4438
Fax
(817) 283-1792
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Vishnu UpadhyayNPI 1386700151
Title
Owner
Phone
(469) 363-1940

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

350 Westpark Way Ste 223
Euless, TX 76040-3758

Mailing address

5407 Lowrie Rd
Colleyville, TX 76034
Phone (469) 363-1941

Other names 2

  • Maya Healthcare Clinic Doing business as
  • WOMEN'S CARE OF MID-CITIES Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211119000688 TX Part B Supplier - Clinic/Group Practice 2860881497 Receives reassigned benefits from 2 practitioners
Practice locations: Euless, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2290343Maya Health Services LLC350 Westpark Way Unit 223, Euless, TX 76040Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

6330 Broadway Blvd
Ste C
Garland, TX 75043
Phone (972) 441-4077

Practitioners & affiliated clinicians

Practitioners 2

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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1386309607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 LOWRIE RD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "469-363-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY STE 223",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403758",
            "telephone_number": "817-283-4438",
            "fax_number": "817-283-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "UPADHYAY",
        "authorized_official_first_name": "VISHNU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-363-1940"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maya Healthcare Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOMEN'S CARE OF MID-CITIES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.