Individual provider Active NPI

Harikrishnareddy Pandi

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1083265052
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1001846 Issued in TX
Practice address
2830 Calder St
Beaumont, TX 77702-1809
Phone
(409) 330-1377
NPI assigned
Sep 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1001846 TX Primary
Emergency Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WE0003X 895609 TX

Addresses

Primary practice location

2830 Calder St
Beaumont, TX 77702-1809

Mailing address

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 330-1377

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
I20201118002807 TX Practitioner - Nurse Practitioner 0042621229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comal Emergency Physicians PLLCGroup PAC ID 6901259936, 81 clinicians

Practice addresses (Care Compare)

1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone (512) 353-8979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
895609TXMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Comal Emergency Physicians, PLLC Multi-Specialty CurrentSince Feb 27, 2026 Accepting new patients

Locations

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

Organizations & group practices 1

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": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1083265052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021809",
            "telephone_number": "409-330-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021809",
            "telephone_number": "409-330-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDI",
        "first_name": "HARIKRISHNAREDDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-21",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1001846",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "895609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.