Organization Active NPI

Bimal Talati, MD PA

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1174857437
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8528 Issued in TX
Legal business name
BIMAL TALATI, MD PA
Practice address
11302 Fallbrook Dr
#205
Houston, TX 77065-4235
Phone
(281) 640-8352
Fax
(281) 640-8357
NPI assigned
Sep 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Dr. Bimal Talati, MD
Title
Physician
Phone
(281) 640-8352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L8528 TX Primary

Addresses

Primary practice location

11302 Fallbrook Dr
#205
Houston, TX 77065-4235

Mailing address

11302 Fallbrook Dr
#205
Houston, TX 77065-4235
Phone (281) 640-8352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000224 TX Part B Supplier - Clinic/Group Practice 7214908391 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

610 Strickland Dr
Ste 370
Orange, TX 77630
Phone (409) 886-0214

2225 Williams Trace Blvd
Ste 109
Sugar Land, TX 77478
Phone (281) 303-5678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1174857437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 FALLBROOK DR",
            "address_2": "#205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654235",
            "telephone_number": "281-640-8352",
            "fax_number": "281-640-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 FALLBROOK DR",
            "address_2": "#205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654235",
            "telephone_number": "281-640-8352",
            "fax_number": "281-640-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIMAL TALATI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "TALATI",
        "authorized_official_first_name": "BIMAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-640-8352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.