Individual provider Active NPI

Riyushhi Mahadik

  • Physician Assistant
  • Taylor, TX
National Provider Identifier
1831729987
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14830 Issued in TX
Practice address
1530 FM 973
Taylor, TX 76574-4540
Phone
(512) 676-8213
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14830 TX Primary

Addresses

Primary practice location

1530 FM 973
Taylor, TX 76574-4540

Mailing address

1530 FM 973
Taylor, TX 76574-4540
Phone (512) 676-8213

Other practice location 1

14180 Dallas Pkwy
Dallas, TX 75254-4341
Phone (800) 797-3174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230127001974 TX Practitioner - Physician Assistant 6608247960 Reassigns benefits to 2 organizations
I20230303000235 FL Practitioner - Physician Assistant 6608247960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61809CAMDGeneral Practice Dentistry
PA14830TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Ranch PastSince May 7, 2023 Accepting new patients
Senior Psychcare of San Antonio I, PLLC Physician Assistant PastSince Aug 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thepatelclinicpllc.riyushhimahadik@160528.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1831729987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 FM 973",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765744540",
            "telephone_number": "512-676-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 FM 973",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765744540",
            "telephone_number": "512-676-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14180 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752544341",
            "country_code": "US",
            "telephone_number": "800-797-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHADIK",
        "first_name": "RIYUSHHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.