Individual provider Active NPI

Hema Vijay, DNP, AGACNP-BC, APRN

  • Acute Care Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1083061519
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
886551 Issued in TX
Practice address
9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone
(713) 897-5900
Fax
(713) 897-2545
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 886551 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883

Mailing address

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

Other practice location 1

1120 Medical Plaza Dr Ste 150
Shenandoah, TX 77380-3250
Phone (713) 897-5900

Other identifiers 2

IdentifierTypeStateIssuer
153449704OtherTXTEXAS MDCD GRP TPI
0035TDOtherTXBCBSTX GRP RECORD #

Other names 1

  • Hemalatha Gunasekaran Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026000932 TX Practitioner - Nurse Practitioner 2365718947 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
886551TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jun 12, 2023 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Current Accepting new patients
MHS Physicians of Texas CurrentSince Sep 4, 2017 Accepting new patients
MHS Physicians of Texas CurrentSince Sep 4, 2017 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310

6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407

9180 Pinecroft Dr
Ste 500
Shenandoah, TX 77380
Phone (713) 897-5900

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

1120 Medical Plaza Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 296-8686

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1083061519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900",
            "fax_number": "713-897-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900",
            "fax_number": "713-897-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Medical Plaza Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803250",
            "country_code": "US",
            "telephone_number": "713-897-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIJAY",
        "first_name": "HEMA",
        "credential": "DNP, AGACNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "886551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MDCD GRP TPI",
            "identifier": "153449704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GRP RECORD #",
            "identifier": "0035TD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEMALATHA",
            "last_name": "GUNASEKARAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.