NPIMap

Individual provider Active NPI

Naresh Maneklal Davda, PA

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1477502417
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
327325 Issued in LA
Practice address
12141 Richmond Ave
Houston, TX 77082-2408
Phone
(281) 588-8110
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101508 FL
Physician Assistant 363A00000X 327325 LA Primary

Addresses

Primary practice location

12141 Richmond Ave
Houston, TX 77082-2408

Mailing address

4930 Hickory Branch LN
Sugar Land, TX 77479-4623
Phone (321) 266-9765

Other practice location 1

8390 Champions Gate Blvd
Suite 306
Champions Gate, FL 33896-8310
Phone (407) 390-1677

Other identifiers 1

IdentifierTypeStateIssuer
291148500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, LA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070906000008 FL Practitioner - Physician Assistant 4880787977 Reassigns benefits to 6 organizations
I20170508001906 TX Practitioner - Physician Assistant 4880787977 Reassigns benefits to 7 organizations
I20210930001802 LA Practitioner - Physician Assistant 4880787977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Hospital Partners, PLLCGroup PAC ID 2062941057, 60 clinicians

Practice addresses (Care Compare)

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
89.89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9101508FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Apr 19, 2016 Accepting new patients
Methodist Health Centers Past Accepting new patients
Brevard Emergency Services Past Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients
Singleton Associates PA Physician Assistant Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1477502417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 HICKORY BRANCH LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794623",
            "telephone_number": "321-266-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822408",
            "telephone_number": "281-588-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8390 Champions Gate Blvd",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Champions Gate",
            "state": "FL",
            "postal_code": "338968310",
            "country_code": "US",
            "telephone_number": "407-390-1677",
            "fax_number": "407-390-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVDA",
        "first_name": "NARESH",
        "middle_name": "MANEKLAL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101508",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "327325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291148500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.