Active NPI
Chala Riddick, MD
- Neurology Physician
- Austin, TX
National Provider Identifier
1609516368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- W8086
- Practice address
- 1015 W 39TH 1/2 St
Austin, TX 78756-4005 - Phone
- (512) 371-7478
- Fax
- (512) 371-3861
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A209992 | CA | |
| Neurology Physician | 2084N0400X | ME179186 | FL | |
| Neurology Physician | 2084N0400X | W8086 | TX | Primary |
Addresses
Primary practice location
1015 W 39TH 1/2 St
Austin, TX 78756-4005
Mailing address
1015 W 39TH 1/2 St
Austin, TX 78756-4005
Phone (512) 371-7478
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1609516368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W 39TH 1/2 ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564005",
"telephone_number": "512-371-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W 39TH 1/2 ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564005",
"telephone_number": "512-371-7478",
"fax_number": "512-371-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDICK",
"first_name": "CHALA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A209992",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME179186",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "W8086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.