Active NPI
Anil Tukarampant Bangale, M.D.
- Sports Medicine (Family Medicine) Physician
- River Oaks, TX
National Provider Identifier
1124071154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- E7370
- Practice address
- 5201 River Oaks Blvd
River Oaks, TX 76114-2923 - Phone
- (817) 626-5424
- Fax
- (817) 626-4354
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | E7370 | TX | Primary |
Addresses
Primary practice location
5201 River Oaks Blvd
River Oaks, TX 76114-2923
Mailing address
5201 River Oaks Blvd
River Oaks, TX 76114-2923
Phone (817) 626-5424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111743401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Care LLC | Past | Accepting new patients |
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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1124071154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 RIVER OAKS BLVD",
"city": "RIVER OAKS",
"state": "TX",
"postal_code": "761142923",
"telephone_number": "817-626-5424",
"fax_number": "817-626-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RIVER OAKS BLVD",
"city": "RIVER OAKS",
"state": "TX",
"postal_code": "761142923",
"telephone_number": "817-626-5424",
"fax_number": "817-626-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGALE",
"first_name": "ANIL",
"middle_name": "TUKARAMPANT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "E7370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111743401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in River Oaks, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.