Active NPI
Shrikant K Rishi, MD
- Otolaryngology Physician
- Killeen, TX
National Provider Identifier
1598775017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D35202
- Practice address
- 2207 S Clear Creek Rd
Suite 303
Killeen, TX 76549-4132 - Phone
- (254) 634-0145
- Fax
- (254) 634-1987
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D35202 | TX | Primary |
Addresses
Primary practice location
2207 S Clear Creek Rd
Suite 303
Killeen, TX 76549-4132
Mailing address
2207 S Clear Creek Rd
Suite 303
Killeen, TX 76549-4132
Phone (254) 634-0145
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1582017-01 | Medicaid | TX | |
| 71JT | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11939 | OK | MD | Pharmacist |
| D35202 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1598775017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 S CLEAR CREEK RD",
"address_2": "SUITE 303",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494132",
"telephone_number": "254-634-0145",
"fax_number": "254-634-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 S CLEAR CREEK RD",
"address_2": "SUITE 303",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494132",
"telephone_number": "254-634-0145",
"fax_number": "254-634-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISHI",
"first_name": "SHRIKANT",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "D35202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1582017-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "71JT",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.