Individual provider Active NPI

Madhavan Pisharodi, M.D.

  • Neurological Surgery Physician
  • Brownsville, TX
National Provider Identifier
1083685812
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G0796 Issued in TX
Practice address
3475 W Alton Gloor Blvd
Brownsville, TX 78520-9277
Phone
(956) 541-6725
Fax
(956) 541-2070
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G0796 TX Primary

Addresses

Primary practice location

3475 W Alton Gloor Blvd
Brownsville, TX 78520-9277

Mailing address

3475 W Alton Gloor Blvd
Brownsville, TX 78520-9277
Phone (956) 541-6725

Other identifiers 2

IdentifierTypeStateIssuer
081242201MedicaidTX
110116402MedicaidTX

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
I20090414000245 TX Practitioner - Neurosurgery 0840347613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Neurosurgery AssociatesGroup PAC ID 7719213925, 4 clinicians

Practice addresses (Care Compare)

3475 W Alton Gloor Blvd
Suite a
Brownsville, TX 78520-4475
Phone (956) 541-6725

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion60
Laminectomy or laminotomy (partial removal of spine bones)30
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Neurosurgery Associates Neurological Surgery CurrentSince Mar 13, 2019 Accepting new patients
Rio Emergency Physicians PLLC PastSince Oct 1, 2008 Accepting new patients

Locations

3475 W Alton Gloor Blvd
Brownsville, TX 78520
Phone (956) 350-2143

3475 W Alton Gloor Blvd
Ste A
Brownsville, TX 78520
Phone (956) 541-6725

Interoperability endpoints

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

Organizations & group practices 3

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 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1083685812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 W ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209277",
            "telephone_number": "956-541-6725",
            "fax_number": "956-541-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 W ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209277",
            "telephone_number": "956-541-6725",
            "fax_number": "956-541-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHARODI",
        "first_name": "MADHAVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "G0796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081242201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110116402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.