Individual provider Active NPI

Bhavika Vinodkumar Patel, AGACNP-BC, FNP-BC

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1124309521
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1099221 Issued in TX
Practice address
1635 North Loop W
Houston, TX 77008-1532
Phone
(713) 867-2000
NPI assigned
Aug 30, 2011
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 4704269294 MI
Acute Care Nurse Practitioner 363LA2100X 1099221 TX Primary

Addresses

Primary practice location

1635 North Loop W
Houston, TX 77008-1532

Mailing address

1635 North Loop W
Houston, TX 77008-1532
Phone (713) 867-2000

Other practice location 1

3990 John R St
Detroit, MI 48201-2018
Phone (313) 745-0537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120710000568 MI Practitioner - Nurse Practitioner 3870758253 Reassigns benefits to 1 organization
I20231009001186 TX Practitioner - Nurse Practitioner 3870758253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 867-2066

1635 N Loop W S Tower FL
Suite 1
Houston, TX 77008-1532
Phone (713) 867-2066

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Oct 1, 2023 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

Interoperability endpoints

  • Direct secure messaging: bpatel4@direct.dmc.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1124309521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081532",
            "telephone_number": "713-867-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081532",
            "telephone_number": "713-867-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012018",
            "country_code": "US",
            "telephone_number": "313-745-0537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVIKA",
        "middle_name": "VINODKUMAR",
        "credential": "AGACNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704269294",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1099221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.