NPIMap

Individual provider Active NPI

Rachel Anderson Mahmud, PA-C

  • Physician Assistant
  • Weatherford, TX
National Provider Identifier
1467097105
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13029 Issued in TX
Practice address
821 E Interstate 20
Weatherford, TX 76086-6745
Phone
(817) 596-4313
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13029 TX Primary

Addresses

Primary practice location

821 E Interstate 20
Weatherford, TX 76086-6745

Mailing address

821 E Interstate 20
Weatherford, TX 76086-6745
Phone (817) 596-4313

Other practice location 1

11803 South Fwy Ste 111
Burleson, TX 76028-7028
Phone (817) 349-9500

Other names 1

  • Ms. Rachel Joan Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419002066 TX Practitioner - Physician Assistant 0547657637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Gupta DO and Associates LLCGroup PAC ID 6305879677, 8 clinicians
Mallikarjuna Mukka MD PAGroup PAC ID 9436222510, 7 clinicians

Practice addresses (Care Compare)

3950 S Carrier Pkwy
Suite 110 Integra Urgent Care
Grand Prairie, TX 75052-6671
Phone (469) 640-1710

6551 Harris Pkwy
Suite 110
Fort Worth, TX 76132-6105
Phone (817) 624-3500

7447 N Macarthur Blvd
Suite 190
Irving, TX 75063-7546

821 E Interstate 20
Weatherford, TX 76086-6745

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13029TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Primary Health Physicians, PLLC PastSince Sep 6, 2024 Accepting new patients
Fort Worth Infectious Disease Consultants PLLC PastSince Feb 2, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16067/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1467097105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E INTERSTATE 20",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866745",
            "telephone_number": "817-596-4313",
            "fax_number": "817-341-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E INTERSTATE 20",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866745",
            "telephone_number": "817-596-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11803 South Fwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287028",
            "country_code": "US",
            "telephone_number": "817-349-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "RACHEL",
        "middle_name": "ANDERSON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ANDERSON",
            "middle_name": "JOAN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.