Riane Mary Davalos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14818 Issued in TX

Practice address

4407 Bee Caves Rd Ste 112
West Lake Hills, TX 78746-6498

Phone

(512) 328-4999

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thomas S Loftus MD PAGroup PAC ID 4183538135, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Hills Surgical Hospital Hospital, Austin, TX, CCN 450808

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Thomas S Loftus MD PA

  dba Austin Neurosurgical Institute

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1083713085
  Medicare reassignment Care Compare group
• Austin Association of Otolaryngologists

  • Specialist
  • Austin, TX
  • NPI 1689869463
  Medicare reassignment
• Prestige Physical Therapy & Rehab, LLC

  dba Prestige Rehab Services

  • Rehabilitation Clinic/Center
  • Brownsville, TX
  • NPI 1104409366
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Austin Center for Outpatient Surgery LP

  dba Northwest Hills Surgical Hospital

  • Special Hospital
  • Austin, TX
  • NPI 1245292630
  Care Compare affiliation

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1932873916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 112",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466498",
            "telephone_number": "512-328-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 112",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466498",
            "telephone_number": "512-328-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOS",
        "first_name": "RIANE",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Liptak Pmhnp, LLC
• Daniel N Gonzalez DC PC (Family Health Chiropractic)
• Daniel Rasor MD, PA
• Rani Das, M.D.
• Dasein Health, LLC
• David Keith Harris MD, PLLC
• Enrique Davila Jr.
• Davis Hearing, PLLC (Victory Hearing & Balance)
• Jill Katherine Davis, AU.D.
• Lara Davis, LPC-ASSOCIATE

• Physician Assistant in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.