Active NPI
Care4Sick LLC
- Adult Medicine Physician
- Austin, TX
National Provider Identifier
1447012976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- CARE4SICK LLC
- Practice address
- 9405 Kyles Stake Rd
Austin, TX 78717-5554 - Phone
- (850) 320-2231
- NPI assigned
- Jan 29, 2024
- 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
- Dr. Mohan Ravindra Gadam, MD
- Title
- Owner
- Phone
- (850) 320-2231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
9405 Kyles Stake Rd
Austin, TX 78717-5554
Mailing address
9405 Kyles Stake Rd
Austin, TX 78717-5554
Phone (850) 320-2231
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1447012976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9405 KYLES STAKE RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175554",
"telephone_number": "850-320-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 KYLES STAKE RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175554",
"telephone_number": "850-320-2231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE4SICK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-29",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "GADAM",
"authorized_official_first_name": "MOHAN",
"authorized_official_middle_name": "RAVINDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-320-2231",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.