Individual provider Active NPI

Divya Janardhanan

  • Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1043666423
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
T0525 Issued in TX
Practice address
13009 Gulf Commerce Dr Ste 200
Houston, TX 77034-1576
Phone
(832) 916-2075
Fax
(832) 916-2480
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 282313 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X T0525 TX
Pain Medicine Physician 208VP0000X T0525 TX Primary

Addresses

Primary practice location

13009 Gulf Commerce Dr Ste 200
Houston, TX 77034-1576

Mailing address

PO Box 57781
Webster, TX 77598-7781
Phone (832) 916-2075

Other practice location 1

1015 W Medical Center Blvd Ste 2800
Webster, TX 77598-4081
Phone (832) 916-2075

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
I20210520001259 TX Practitioner - Pain Management 6204251085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Purvi Patel MD PLLCGroup PAC ID 3173835808, 3 clinicians

Practice addresses (Care Compare)

1015 W Medical Ctr Blvd
Suite 2800
Webster, TX 77598-4081
Phone (832) 916-2075

Hospital & facility affiliations

  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0525TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Purvi Patel, M.D., PLLC Pain Medicine CurrentSince Jul 15, 2021 Accepting new patients
Gulf Coast Procedure Center LLC CurrentSince May 1, 2024 Accepting new patients

Locations

13009 Gulf Commerce Dr
Ste 200
Houston, TX 77034
Phone (832) 916-2075

13009 Gulf Commerce Dr
Ste 201
Houston, TX 77034
Phone (732) 589-0816

1920 Country Place Pkwy
Ste 160
Pearland, TX 77584
Phone (832) 736-2677

1015 W Medical Center Blvd
Ste 2800
Webster, TX 77598
Phone (281) 338-2006

218 W Nasa Pkwy
Ste C
Webster, TX 77598
Phone (630) 413-4307

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGDBDA/Endpoint/AGDBDA

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1043666423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57781",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987781",
            "telephone_number": "832-916-2075",
            "fax_number": "832-916-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13009 GULF COMMERCE DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770341576",
            "telephone_number": "832-916-2075",
            "fax_number": "832-916-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 W Medical Center Blvd Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984081",
            "country_code": "US",
            "telephone_number": "832-916-2075",
            "fax_number": "832-916-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANARDHANAN",
        "first_name": "DIVYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "282313",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "T0525",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "T0525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.