Active NPI
Shrikant Rishi, M.D., M.S., F.a.C.S.
- Otolaryngology Physician
- Killeen, TX
National Provider Identifier
1427240209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MDL5535
- Legal business name
- SHRIKANT RISHI, M.D., M.S., F.A.C.S.
- Practice address
- 2207 S Clear Creek Rd
Ste # 303
Killeen, TX 76549-4132 - Phone
- (254) 634-0145
- Fax
- (254) 634-1987
- NPI assigned
- Aug 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shrikant K Rishi, MD
- Title
- Ceo
- Phone
- (254) 634-0145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MDL5535 | TX | Primary |
Addresses
Primary practice location
2207 S Clear Creek Rd
Ste # 303
Killeen, TX 76549-4132
Mailing address
2207 S Clear Creek Rd
Ste # 303
Killeen, TX 76549-4132
Phone (254) 634-0145
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158201701 | Medicaid | TX | |
| 0071JT | Other | TX | BLUE CROSS BLUE SHIELD |
| 207463764 | Other | TX | TRICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187136000000",
"number": "1427240209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 S CLEAR CREEK RD",
"address_2": "STE # 303",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494132",
"telephone_number": "254-634-0145",
"fax_number": "254-634-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 S CLEAR CREEK RD",
"address_2": "STE # 303",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494132",
"telephone_number": "254-634-0145",
"fax_number": "254-634-1987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHRIKANT RISHI, M.D., M.S., F.A.C.S.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A",
"authorized_official_last_name": "RISHI",
"authorized_official_first_name": "SHRIKANT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "254-634-0145",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "TX",
"license": "MDL5535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158201701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0071JT",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "207463764",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.