Active NPI
Bharat B Latthe MD PA
Doing business as Family & Senior Medical Clinic PA
- Family Medicine Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K6082
- Legal business name
- BHARAT B LATTHE MD PA
- Doing business as
- Family & Senior Medical Clinic PA
- Practice address
- 150 Pine Forest Dr
Suite 110
Shenandoah, TX 77384-5302 - Phone
- (281) 709-2555
- Fax
- (281) 440-9915
- NPI assigned
- May 16, 2006
- Organization subpart
- Yes
- Parent organization
- FAMILY & SENIOR MEDICAL CLINIC PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bharat Latthe, MD
- Title
- Owner
- Phone
- (281) 709-2555
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K6082 | TX | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | K6082 | TX | |
| Nurse Practitioner | 363L00000X | 651038 | TX |
Addresses
Primary practice location
150 Pine Forest Dr
Suite 110
Shenandoah, TX 77384-5302
Mailing address
150 Pine Forest Dr
Suite 110
Shenandoah, TX 77384-5302
Phone (281) 709-2555
Other practice location 1
7800 Shoal Creek Blvd Ste 134S
Austin, TX 78757-1014
Phone (281) 709-5555
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120662506 | Medicaid | TX | |
| 187619502 | Other | TX | TEXAS HEALTH STEPS |
| 152611303 | Medicaid | TX | |
| P000614 | Other | MEDICARE RAILROAD | |
| 00064ET | Other | TX | BLUE CROSS |
| 187619501 | Medicaid | TX |
Other names 1
- Family & Senior Medical Clinic PA
National Provider Directory
National Provider Directory- Part of
- Family Senior Medical Clin
Locations
7800 Shoal Creek Blvd
Ste 134S
Austin, TX 78757
Phone (281) 709-5555
1125 Cypress Station Dr
#B
Houston, TX 77090
Phone (281) 440-1400
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Shenandoah, TX
- NPI 1326295155
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1326206822
-
- Geriatric Medicine (Family Medicine) Physician
- Walnut Creek, CA
- NPI 1366487993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1053363598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PINE FOREST DR",
"address_2": "SUITE 110",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773845302",
"telephone_number": "281-709-2555",
"fax_number": "281-440-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PINE FOREST DR",
"address_2": "SUITE 110",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773845302",
"telephone_number": "281-709-2555",
"fax_number": "281-440-9915"
}
],
"practiceLocations": [
{
"address_1": "7800 Shoal Creek Blvd Ste 134S",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787571014",
"country_code": "US",
"telephone_number": "281-709-5555",
"fax_number": "281-440-9915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BHARAT B LATTHE MD PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY & SENIOR MEDICAL CLINIC PA",
"enumeration_date": "2006-05-16",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "LATTHE",
"authorized_official_first_name": "BHARAT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-709-2555",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K6082",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "K6082",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "651038",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120662506",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS HEALTH STEPS",
"identifier": "187619502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152611303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P000614",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00064ET",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187619501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family & Senior Medical Clinic PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shenandoah, TX
- Andrew John Bennett, B.A., BCABA
- Scott Nicholas Berger, MD
- Berkeley Eye Institute, PLLC (Berkeley Eye Center)
- Jessica D Berry Dever, MD
- Blake A. Berryhill, MD
- Meredith Dawn Braudaway Bialas, CPM, LM
- Katie Biggs, MA, LPA
- Shazia Billal, M.D.
- Taylor Billey
- Bio-Medical Applications of Texas, Inc. (Woodlands Home Therapies)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.