Mariam Dhanani, PA-C
Individual provider Active NPI Physician Assistant · Leander, TX
NPI 1407196173 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1407196173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA08188 (TX)
- Practice address
- 1007 S Highway 183
Leander, TX 78641-1989 - Phone
- (512) 260-4900
- NPI assigned
- Feb 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scott and White Clinic
Practice addresses (Care Compare)
1007 S Hwy 183
Leander, TX 78641-1989
Phone (512) 260-4900
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
239 W Business
190 Baylor Scott and White Clinic Coppe
Copperas Cove, TX 76522-2912
Phone (254) 542-9000
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
7451 W State Hwy 29
Baylor Scott and White Clinic Georg
Georgetown, TX 78628-6849
Phone (512) 509-8700
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Round Rock
- Baylor Scott & White Institute for Rehabilitation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130508000411 | TX | Practitioner - Physician Assistant | 9638316797 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Current |
Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current |
Accepting new patients | |
| Scott & White Clinic | Current |
Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
5000 W Slaughter Ln
Ste 100
Austin, TX 78749
Phone (512) 282-2273
9722 Great Hills Trl
Ste 375
Austin, TX 78759
Phone (512) 240-9498
17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856
19220 S Ih 35
Ste 300
Kyle, TX 78640
Phone (737) 265-3964
1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000
546 N Kegley Rd
Temple, TX 76502
Phone (254) 215-0900
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
3300 Bee Caves Rd
Ste 440
West Lake Hills, TX 78746
Phone (512) 399-0402
Interoperability endpoints
- mdhanani21479@direct.sw.org
- mariam.dhanani@20323846389764.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA08188 | TX | Yes |
Addresses
Primary practice location
1007 S Highway 183
Leander, TX 78641-1989
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Other practice location 1
4501 S Clear Creek Rd
Killeen, TX 76549-4218
Phone (254) 501-6400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdhanani21479@direct.sw.org |
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.