Individual provider Active NPI

Rachelle Marian Mai, MD

  • Pediatrics Physician
  • The Woodlands, TX
National Provider Identifier
1861953762
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T5976 Issued in TX
Practice address
1595 Lake Front Cir
The Woodlands, TX 77380-3604
Phone
(281) 292-8980
Fax
(281) 292-8070
NPI assigned
Mar 26, 2019
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NA OH
Pediatrics Physician 208000000X T5976 TX Primary

Addresses

Primary practice location

1595 Lake Front Cir
The Woodlands, TX 77380-3604

Mailing address

1595 Lake Front Cir
The Woodlands, TX 77380-3604
Phone (281) 292-8980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190709001341 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4486989761

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5976TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pediatrics, PA Pediatrics CurrentSince Apr 16, 2023 Accepting new patients

Locations

1595 Lake Front Cir
The Woodlands, TX 77380
Phone (281) 292-8980

Interoperability endpoints

  • Direct secure messaging: rachelle.mai@hped.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1861953762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 LAKE FRONT CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803604",
            "telephone_number": "281-292-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 LAKE FRONT CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803604",
            "telephone_number": "281-292-8980",
            "fax_number": "281-292-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "RACHELLE",
        "middle_name": "MARIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "NA",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T5976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.