Organization Active NPI

Bharat B Latthe MD PA

Doing business as Family & Senior Medical Clinic PA

  • Family Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1053363598
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6082 Issued in TX
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K6082 TX Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X K6082 TX
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
120662506MedicaidTX
187619502OtherTXTEXAS HEALTH STEPS
152611303MedicaidTX
P000614OtherMEDICARE RAILROAD
00064ETOtherTXBLUE CROSS
187619501MedicaidTX

Other names 1

  • Family & Senior Medical Clinic PA Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.