Individual provider Active NPI

Ananda D Babbili, PA-C

  • Medical Physician Assistant
  • North Richland Hills, TX
National Provider Identifier
1013258797
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00793 Issued in TX
Practice address
8208 Bedford Euless Rd
North Richland Hills, TX 76180-7214
Phone
(817) 581-3781
Fax
(817) 581-3768
NPI assigned
Mar 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00793 TX Primary

Addresses

Primary practice location

8208 Bedford Euless Rd
North Richland Hills, TX 76180-7214

Mailing address

8208 Bedford Euless Rd
North Richland Hills, TX 76180-7214
Phone (817) 581-3781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA00793TXMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1013258797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 BEDFORD EULESS RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807214",
            "telephone_number": "817-581-3781",
            "fax_number": "817-581-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8208 BEDFORD EULESS RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807214",
            "telephone_number": "817-581-3781",
            "fax_number": "817-581-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABBILI",
        "first_name": "ANANDA",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.