NATHAN ANNOP MAHANIRANANDA PA-C
NPI 1952805848
Physician Assistant in Southlake, TX

Q: What is Nathan Mahanirananda's NPI number?

The NPI number for Nathan Mahanirananda is 1952805848. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Q: What is Nathan Mahanirananda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since March 23, 2018PECOS Enrolled

2813 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092(817) 310-8783 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nathan Annop Mahanirananda Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN ANNOP MAHANIRANANDA PA-C (NPI 1952805848) is an individual physician assistant in Southlake, Texas, licensed in Texas (PA11879) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952805848

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNATHAN ANNOP MAHANIRANANDACredential: PA-C

Location Address2813 W SOUTHLAKE BLVD STE 100Southlake, TX 76092-6832

Mailing Address12 Branch RdOakhurst, NJ 07755-1026

Phone(817) 310-8783

Sole ProprietorNo

Enumeration DateMarch 23, 2018

✔ NPI 1952805848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA11879

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2813 W SOUTHLAKE BLVD STE 100, Southlake, TX 76092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Annop Mahanirananda Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services21 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

17 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OBINNA C. EMECHEBE-KENNEDY M.D., PHARM.D.

Anesthesiology (Pain Medicine)