Organization Active NPI

Sathya P. Bhandari, M.D. P.a.

Doing business as Liberty Pain Associates

  • Interventional Pain Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1043569130
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SATHYA P. BHANDARI, M.D. P.A.
Doing business as
Liberty Pain Associates
Practice address
1021 Long Prairie Rd Ste 402
Flower Mound, TX 75022-4399
Phone
(972) 355-9038
Fax
(844) 221-1862
NPI assigned
Sep 5, 2012
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SATHYA P. BHANDARI, M.D. P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. Sathya P. Bhandari, M.D.NPI 1356419980
Title
M.D.
Phone
(972) 355-9038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P3289 TX
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

1021 Long Prairie Rd Ste 402
Flower Mound, TX 75022-4399

Mailing address

1021 Long Prairie Rd Ste 402
Flower Mound, TX 75022-4399
Phone (972) 355-9038

Other practice location 1

3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165
Phone (972) 355-9038

Other names 1

  • Liberty Pain Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000473 TX Part B Supplier - Clinic/Group Practice 8729236674 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX; Fort Worth, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Sathya P Bhandari MD

Locations

3901 FM 2181
Ste 300
Corinth, TX 76210
Phone (940) 497-4900

3301 Golden Triangle Blvd
Fort Worth, TX 76177
Phone (972) 355-9038

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1043569130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 LONG PRAIRIE RD STE 402",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224399",
            "telephone_number": "972-355-9038",
            "fax_number": "844-221-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 LONG PRAIRIE RD STE 402",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224399",
            "telephone_number": "972-355-9038",
            "fax_number": "844-221-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Golden Triangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761777165",
            "country_code": "US",
            "telephone_number": "972-355-9038",
            "fax_number": "844-221-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SATHYA P. BHANDARI, M.D. P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATHYA P. BHANDARI, M.D. P.A.",
        "enumeration_date": "2012-09-05",
        "last_updated": "2023-10-18",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "SATHYA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "972-355-9038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P3289",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.