Individual provider Active NPI

Indira Cassandra Maharaj-Mikiel, M.D.

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1891056164
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9859 Issued in TX
Practice address
3347 S 2ND St
Abilene, TX 79605-1760
Phone
(325) 208-3274
Fax
(325) 208-3275
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09409100 NJ
Family Medicine Physician 207Q00000X Q9859 TX Primary

Addresses

Primary practice location

3347 S 2ND St
Abilene, TX 79605-1760

Mailing address

3347 S 2ND St
Abilene, TX 79605-1760
Phone (325) 208-3274

Other identifiers 2

IdentifierTypeStateIssuer
0423025MedicaidNJ
337751701MedicaidTX

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
I20161216000120 TX Practitioner - Family Practice 4789803743 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9859TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jan 1, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 11, 2020 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 11, 2020 Accepting new patients
Hendrick Provider Network Family Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300

1210 N 18th St
Abilene, TX 79601
Phone (325) 670-4020

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

920 Hillcrest Dr
Vernon, TX 76384
Phone (940) 552-9351

Interoperability endpoints

  • Direct secure messaging: immikiel@mm-tx.direct.office.nextgen.com
  • Direct secure messaging: indira.maharaj-mikiel.1@24927.direct.athenahealth.com

Organizations & group practices 4

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1891056164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 S 2ND ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796051760",
            "telephone_number": "325-208-3274",
            "fax_number": "325-208-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 S 2ND ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796051760",
            "telephone_number": "325-208-3274",
            "fax_number": "325-208-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARAJ-MIKIEL",
        "first_name": "INDIRA",
        "middle_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09409100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423025",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337751701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.