Individual provider Active NPI

Nirali Chauhan, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1932685559
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113234 Issued in TX
Practice address
12880 Hillcrest Rd Ste 102
Dallas, TX 75230-1501
Phone
(214) 709-4003
NPI assigned
Jul 17, 2018
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA22637 FL
Speech-Language Pathologist 235Z00000X 113234 TX Primary

Addresses

Primary practice location

12880 Hillcrest Rd Ste 102
Dallas, TX 75230-1501

Mailing address

12880 Hillcrest Rd Ste 102
Dallas, TX 75230-1501
Phone (972) 387-1100

Other names 1

  • Nirali Mandalaywala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CT, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240416003619 TX Practitioner - Qualified Speech Language Pathologist 1254770712 Reassigns benefits to 1 organization
I20240715004293 FL Practitioner - Qualified Speech Language Pathologist 1254770712 Reassigns benefits to 1 organization
I20240812000285 CT Practitioner - Qualified Speech Language Pathologist 1254770712 Reassigns benefits to 1 organization
I20240905004585 CA Practitioner - Qualified Speech Language Pathologist 1254770712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA22637FLMDSpeech-Language Pathologist
113234TXMDSpeech-Language Pathologist
7860CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jul 24, 2024 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Apr 29, 2024 Accepting new patients
Playworks Pediatric Therapy Services Inc Past Accepting new patients
Amy C. Havenor Speech-Language Pathologist Past Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

500 W Putnam Ave
Ste 400
Greenwich, CT 06830
Phone (203) 532-9880

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

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, 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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1932685559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 HILLCREST RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301501",
            "telephone_number": "972-387-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 HILLCREST RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301501",
            "telephone_number": "214-709-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "NIRALI",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA22637",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIRALI",
            "last_name": "MANDALAYWALA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.