Active NPI
Liridona Halili
- Physician Assistant
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16300
- Practice address
- 900 N Austin Ave Ste 105
Georgetown, TX 78626-4349 - Phone
- (512) 630-7828
- NPI assigned
- Sep 24, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8701 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA16300 | TX | Primary |
Addresses
Primary practice location
900 N Austin Ave Ste 105
Georgetown, TX 78626-4349
Mailing address
9494 W Northern Ave
Glendale, AZ 85305-1118
Other practice location 1
9494 W Northern Ave
Glendale, AZ 85305-1118
Phone (623) 872-2226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Primamed Physicians PLLC | Current | Accepting new patients | |
| Citimed, P.a. | Past | Accepting new patients |
Locations
4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222
900 N Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 930-1025
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Interoperability endpoints
- liridona.halilipac.p14@direct.nextcare.nextgenshare.com
- liridona.halilipac.p1@direct.nextcare.nextgenshare.com
- liridona.halilipac.p11@direct.nextcare.nextgenshare.com
- liridona.halilipac.p6@direct.nextcare.nextgenshare.com
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1164494068
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1174932131
-
- Urgent Care Clinic/Center
- Abilene, TX
- NPI 1760875025
-
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Family Medicine Physician
- Arlington, TX
- NPI 1487823316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1720639404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9494 W NORTHERN AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853051118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N AUSTIN AVE STE 105",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786264349",
"telephone_number": "512-630-7828"
}
],
"practiceLocations": [
{
"address_1": "9494 W Northern Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853051118",
"country_code": "US",
"telephone_number": "623-872-2226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALILI",
"first_name": "LIRIDONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8701",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA16300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.