Individual provider Active NPI

Anand B Movva, MD

  • Internal Medicine Physician
  • Bridge City, TX
National Provider Identifier
1184612392
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9621 Issued in TX
Practice address
2515 Texas Ave
Bridge City, TX 77611-2847
Phone
(409) 735-2486
Fax
(409) 735-2487
NPI assigned
Oct 11, 2005
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K9621 TX Primary

Addresses

Primary practice location

2515 Texas Ave
Bridge City, TX 77611-2847

Mailing address

2515 Texas Ave
Bridge City, TX 77611-2847
Phone (409) 735-2486

Other identifiers 2

IdentifierTypeStateIssuer
0091EYOtherTXBCBS
135292409MedicaidTX

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
I20040428001332 TX Practitioner - Internal Medicine 1658283403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2515 Texas Ave
Bridge City, TX 77611-2847
Phone (409) 735-2486

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network PastSince Nov 1, 2006 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFGCAD/Endpoint/GFGCAD

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 2

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1184612392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112847",
            "telephone_number": "409-735-2486",
            "fax_number": "409-735-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112847",
            "telephone_number": "409-735-2486",
            "fax_number": "409-735-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVVA",
        "first_name": "ANAND",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0091EY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135292409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridge City, TX

Sources for this page

Verify at the official NPI Registry.