Organization Active NPI

Care4Sick LLC

  • Adult Medicine Physician
  • Austin, TX
National Provider Identifier
1447012976
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
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

Updated by the provider on Jun 19, 2024

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.