Individual provider Active NPI

Nalini M Dave, M.D.

  • Internal Medicine Physician
  • Bryan, TX
National Provider Identifier
1013923523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G0390 Issued in TX
Practice address
1201D Briarcrest Dr
Bryan, TX 77802-5223
Phone
(979) 776-5600
Fax
(979) 776-6280
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G0390 TX Primary

Addresses

Primary practice location

1201D Briarcrest Dr
Bryan, TX 77802-5223

Mailing address

1201D Briarcrest Dr
Bryan, TX 77802-5223
Phone (979) 776-5600

Other identifiers 2

IdentifierTypeStateIssuer
110618901MedicaidTX
742192073OtherTXTAX ID

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
I20110826000466 TX Practitioner - Internal Medicine 3678743812 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G0390TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gracious Minds Counseling and Supervision Inc. CurrentSince Oct 1, 2023 Accepting new patients
Nurocoach Medical Group PLLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients

Locations

2800 Kirby Dr
Ste A110
Houston, TX 77098

101 Southwestern Blvd
Ste 200
Sugar Land, TX 77478
Phone (346) 298-3790

Organizations & group practices 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013923523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201D BRIARCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025223",
            "telephone_number": "979-776-5600",
            "fax_number": "979-776-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201D BRIARCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025223",
            "telephone_number": "979-776-5600",
            "fax_number": "979-776-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "NALINI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G0390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110618901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "742192073",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.