Individual provider Active NPI

Maulik Purohit, MD

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1821241530
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q6978 Issued in TX
Practice address
4502 Medical Dr FL 3
San Antonio, TX 78229-4402
Phone
(210) 358-0770
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 243526 MA
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X MD478626 PA
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X Q6978 TX
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X Q6978 TX Primary

Addresses

Primary practice location

4502 Medical Dr FL 3
San Antonio, TX 78229-4402

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (214) 403-1943

Other practice location 1

125 Nashua St
Boston, MA 02114-1101
Phone (214) 403-1943

Other practice location 2

1621 N Cedar Crest Blvd
Allentown, PA 18104-2304
Phone (610) 402-3300

Other identifiers 2

IdentifierTypeStateIssuer
375574602OtherTXCSHCN
375574601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003005551 TX Practitioner - Physical Medicine and Rehabilitation 2466641287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7622 Branford PL
Sugar Land, TX 77479-3759
Phone (281) 766-9002

Hospital & facility affiliations

  • Interim Healthcare Home health agency, Pearland, TX, CCN 747159
  • Caring Professional Home Health Services Inc Home health agency, Stafford, TX, CCN 453164
  • Pam Health Rehabilitation Hospital of Sugar Land Inpatient rehabilitation facility, Sugar Land, TX, CCN 673068

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
243526MAMDPhysical Medicine & Rehabilitation Physician
Q6978TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diat Insights Physical Medicine & Rehabilitation CurrentSince Apr 24, 2024 Accepting new patients
Community Medicine Associates CurrentSince Sep 1, 2018 Accepting new patients
Pam Health Rehabilitation Hospital of Sugar Land LLC Past Accepting new patients

Locations

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

903 W Martin St
#B
San Antonio, TX 78207
Phone (210) 358-3441

4502 Medical Dr
Fl 3
San Antonio, TX 78229
Phone (210) 358-0770

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

7622 Branford Pl
Sugar Land, TX 77479
Phone (281) 329-4300

110 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-8797

2637 N Washington Blvd
Ogden, UT 84414
Phone (385) 244-0489

Interoperability endpoints

  • Direct secure messaging: maulik.purohit.1@13131.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1821241530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "214-403-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR FL 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Nashua St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021141101",
            "country_code": "US",
            "telephone_number": "214-403-1943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1621 N Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181042304",
            "country_code": "US",
            "telephone_number": "610-402-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUROHIT",
        "first_name": "MAULIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "243526",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "PA",
            "license": "MD478626",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "TX",
            "license": "Q6978",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q6978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "375574602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375574601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.