Mahendra Mahatma, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

H8739 Issued in TX

Legal business name

MAHENDRA MAHATMA, M.D., P.A.

Practice address

6500 Sierra Dr
#170
Irving, TX 75039-2480

Phone

(972) 331-1590

Fax

(972) 570-0779

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Jayne Ezzell

Title

Office Manager

Phone

(972) 331-1590

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIBFCD

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahendra Mahatma, M.D.

  • Gastroenterology Physician
  • Irving, TX
  • NPI 1437176187
  Medicare reassignment NPD
• James Steven Burdick, MD

  • Gastroenterology Physician
  • Irving, TX
  • NPI 1295791564
  NPD (past)
• Shashi K. Dharma, MD

  • Ophthalmology Physician
  • Irving, TX
  • NPI 1558378307
  NPD (past)
• Olga Teachenor, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1417926825
  NPD (past)
• Gina Mahatma

  • Retina Specialist (Ophthalmology) Physician
  • Oklahoma City, OK
  • NPI 1043873128
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1497024988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SIERRA DR",
            "address_2": "#170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392480",
            "telephone_number": "972-331-1590",
            "fax_number": "972-570-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SIERRA DR",
            "address_2": "#170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392480",
            "telephone_number": "972-331-1590",
            "fax_number": "972-570-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHENDRA MAHATMA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "EZZELL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-331-1590",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H8739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Chiropractic, P.a.
• Magnolia Pain Management
• Magnolia Physician Group PLLC
• Mahant Dental
• Mahendra Mahatma, M.D.
• Vinh Tuan Ngoc Mai, M.D.
• Grace Maina
• Grace W Maina
• Geoffrey Kinoti Maingi, NP-C
• Sarah Mainor

• Specialist in Irving, TX
• Providers in Irving, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.