Individual provider Active NPI

Radhika Khara, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1447925953
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55291 Issued in TX
Practice address
8500 N Mopac Expy Ste 604
Austin, TX 78759-8347
Phone
(512) 350-6236
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 55291 TX Primary

Addresses

Primary practice location

8500 N Mopac Expy Ste 604
Austin, TX 78759-8347

Mailing address

9631 Covey Ridge LN
Austin, TX 78758-5818
Phone (512) 748-6127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917002026 TX Practitioner - Clinical Social Worker 0648677674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enteave PLLCGroup PAC ID 9739410309, 5 clinicians

Practice addresses (Care Compare)

8500 N Mopac Expy
Suite 604
Austin, TX 78759-8347
Phone (512) 350-6236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enteave PLLC Clinical CurrentSince Sep 8, 2021 Accepting new patients

Locations

8500 N Mopac Expy
Ste 814
Austin, TX 78759
Phone (512) 748-6127

3432 Greystone Dr
Ste 101
Austin, TX 78731

8500 N Mopac Expy
Ste 604
Austin, TX 78759
Phone (512) 350-6236

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1447925953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 COVEY RIDGE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585818",
            "telephone_number": "512-748-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N MOPAC EXPY STE 604",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598347",
            "telephone_number": "512-350-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARA",
        "first_name": "RADHIKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.