Individual provider Active NPI

Amitabh Bhandari

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1174757579
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q5350 Issued in TX
Practice address
4204 Gardendale St
Suite 308
San Antonio, TX 78229-3132
Phone
(210) 787-2351
NPI assigned
May 13, 2009
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q5350 TX Primary

Addresses

Primary practice location

4204 Gardendale St
Suite 308
San Antonio, TX 78229-3132

Mailing address

4204 Gardendale St
Suite 308
San Antonio, TX 78229-3132

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
I20160502000521 TX Practitioner - Anesthesiology 1759517105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Anesthesia Group PLLCGroup PAC ID 9931411022, 17 clinicians

Practice addresses (Care Compare)

19010 Stone Oak Pkwy
San Antonio, TX 78258-3225
Phone (210) 575-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5350TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Anesthesia Group PLLC Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 1, 2017 Accepting new patients

Locations

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

4204 Gardendale St
Ste 308
San Antonio, TX 78229
Phone (210) 787-2351

4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1174757579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST",
            "address_2": "SUITE 308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST",
            "address_2": "SUITE 308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293132",
            "telephone_number": "210-787-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARI",
        "first_name": "AMITABH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q5350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.