Individual provider Active NPI

MGN Mrinalini Buddha, MD

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
National Provider Identifier
1093393696
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
7575 Cambridge St Apt 3201
Houston, TX 77054-2037
Phone
(346) 269-4647
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

7575 Cambridge St Apt 3201
Houston, TX 77054-2037

Mailing address

7575 Cambridge St Apt 3201
Houston, TX 77054-2037
Phone (346) 269-4647

Other names 1

  • Mrinalini Buddha Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250214000832 KY Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 0749710127

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1093393696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 CAMBRIDGE ST APT 3201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542037",
            "telephone_number": "346-269-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 CAMBRIDGE ST APT 3201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542037",
            "telephone_number": "346-269-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDHA",
        "first_name": "MGN MRINALINI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MRINALINI",
            "last_name": "BUDDHA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.