Deepak Pattanaik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G4676 Issued in TX

Practice address

5030 Crenshaw Rd
Suite 120
Pasadena, TX 77505-3140

Phone

(713) 943-8229

Fax

(713) 943-9608

NPI assigned

Oct 24, 2006

Last updated

Jul 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PCP Associates of Pasadena PAGroup PAC ID 8527056522, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• PCP Associates of Pasadena PA

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1467673301
  Medicare reassignment Care Compare group NPD Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Chca Bayshore LP

  dba Bayshore Medical Center

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1033292743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CRENSHAW RD",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053140",
            "telephone_number": "713-943-8229",
            "fax_number": "713-943-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CRENSHAW RD",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053140",
            "telephone_number": "713-943-8229",
            "fax_number": "713-943-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTANAIK",
        "first_name": "DEEPAK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G4676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114731602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sweta Patel
• Vipul M Patel, MD
• Patients Rehabilitation Center LLC
• Patients Urgent Care Center LLC (Patients Urgent Care Center)
• Savaira Patoli
• Tina Faye Patterson, D.D.S
• Gardenia Garza Paul, LCSW
• PCP Associates of Pasadena PA
• PCP Pharmacy LLC (PremierCare Pharmacy)
• Peak Performance Rehab & Wellness, LLC

• Family Medicine Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.