NPIMap

Individual provider Active NPI

Jitendra I Vasandani, MD

  • Rheumatology Physician
  • Lubbock, TX
National Provider Identifier
1194707406
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
K9691 Issued in TX
Practice address
10705 Milwaukee Avenue
Lubbock, TX 78424
Phone
(806) 701-5210
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X K9691 TX Primary

Addresses

Primary practice location

10705 Milwaukee Avenue
Lubbock, TX 78424

Mailing address

10705 Milwaukee Ave
Lubbock, TX 79424-6153
Phone (806) 744-7223

Other identifiers 6

IdentifierTypeStateIssuer
100264101OtherTXFIRSTCARE
00680ROtherTXBCBS GROUP
CJ4139OtherTXRAILROAD MEDICARE
8445N3OtherTXBCBS
4637990001OtherTXMEDICARE NSC
040221603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000818 TX Practitioner - Rheumatology 3870547169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates-TX PLLCGroup PAC ID 6002194388, 26 clinicians

Practice addresses (Care Compare)

10705 Milwaukee Ave
Lubbock, TX 79424-6153
Phone (806) 744-7223

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates-TX PLLC Rheumatology CurrentSince Jan 1, 2023 Accepting new patients
Jitendra Vasandani, MD PA Rheumatology CurrentSince Feb 19, 2023 Accepting new patients
Covenant Medical Group Past Accepting new patients
Covenant Medical Group Past Accepting new patients
Covenant Health System Past Accepting new patients

Locations

2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101

10705 Milwaukee Ave
Lubbock, TX 79424
Phone (806) 701-5210

215 E Quincy St
Ste 417
San Antonio, TX 78215
Phone (210) 223-5585

Interoperability endpoints

  • Direct secure messaging: jitendra.vasandani@direct.myteamcare.com
  • Direct secure messaging: jitendra.vasandani.p38@direct.aara1.nextgenshare.com
  • Direct secure messaging: jitendravasandani@aoa.allscriptsdirect.net
  • Direct secure messaging: jvasandani1380013@oc.providencedirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1194707406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 MILWAUKEE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246153",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 MILWAUKEE AVENUE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "78424",
            "telephone_number": "806-701-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASANDANI",
        "first_name": "JITENDRA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "K9691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "100264101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "00680R",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ4139",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8445N3",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "4637990001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040221603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.