Individual provider Active NPI

Amit K Bansal, MD

  • Obstetrics & Gynecology Physician
  • Pasadena, TX
National Provider Identifier
1023024478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H2230 Issued in TX
Practice address
4102 Woodlawn
Suite 260
Pasadena, TX 77504
Phone
(713) 944-0076
Fax
(713) 944-0283
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

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
Obstetrics & Gynecology Physician 207V00000X H2230 TX Primary

Addresses

Primary practice location

4102 Woodlawn
Suite 260
Pasadena, TX 77504

Mailing address

4102 Woodlawn
Suite 260
Pasadena, TX 77504
Phone (713) 944-0076

Other identifiers 1

IdentifierTypeStateIssuer
138535310MedicaidTX

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
I20101110000295 TX Practitioner - Obstetrics/Gynecology 0547455032 Reassigns benefits to 1 organization
Practice locations: Pasadena, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2230TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Dec 2, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 2, 2019 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

2060 Space Park Dr
Ste 410
Houston, TX 77058
Phone (832) 783-2330

Interoperability endpoints

  • Direct secure messaging: abansal1181714@direct.sw.org

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023024478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 WOODLAWN",
            "address_2": "SUITE 260",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "713-944-0076",
            "fax_number": "713-944-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOODLAWN",
            "address_2": "SUITE 260",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "713-944-0076",
            "fax_number": "713-944-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "AMIT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H2230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138535310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.