Sandhya Bejjanki, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Cleburne, TX
NPI 1205037488 · NPPES record last updated Mar 11, 2010
Key facts
- NPI
- 1205037488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 200442 (LA)
- Practice address
- 191 Walls Dr
Cleburne, TX 76033-4033 - Phone
- (817) 648-0120
- Fax
- (817) 648-0121
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Oncology PA
Practice addresses (Care Compare)
1310 B Paluxy Rd
Suite 2000
Granbury, TX 76048-5655
Phone (817) 579-3700
1609 Hospital Pkwy
Bedford, TX 76022-6920
Phone (817) 662-0008
191 Walls Dr
Cleburne, TX 76033-4033
Phone (817) 648-0120
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456
4201 Brown TRL
Suite 101
Colleyville, TX 76034-3941
Phone (682) 217-2102
500 S Henderson St
Fort Worth, TX 76104-2154
Phone (817) 413-1500
6500 Harris Pkwy
Ft Worth, TX 76132-4136
Phone (817) 263-2600
7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313
907 Foster LN
Weatherford, TX 76086-5713
Phone (817) 597-7900
911 Foster LN
Weatherford, TX 76086-5713
Phone (817) 597-7900
Hospital & facility affiliations
- Texas Health Harris Methodist Hospital Cleburne
- Texas Health Huguley Hospital Fort Worth South
- Glen Rose Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090730000598 | TX | Practitioner - Hematology/Oncology |
7315012465 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200442 | LA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Hematology & Oncology | Current |
Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current |
Accepting new patients |
Locations
191 Walls Dr
Cleburne, TX 76033
Phone (817) 641-1700
4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
Interoperability endpoints
- sandhya.bejjanki@txo.ikm.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200442 | LA | |
| Hematology & Oncology Physician | 207RH0003X | 200442 | LA | Yes |
Addresses
Primary practice location
191 Walls Dr
Cleburne, TX 76033-4033
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203533901 | Medicaid | TX | |
| P00748696 | Other | TX | RAILROAD MEDICARE |
| 203533902 | Medicaid | TX |
Other providers in Cleburne, TX
- Gary S Barnett
- Holly Rene' Battaile
- Bavousett'S Caring Keepers
- Lani Ke'Ala Beckler
- Hanmanth Rao Bejjanki
- Benke Ear Nose and Throat Clinic
- Theodore T Benke
- Jena Bennett
- Scott A. Berlin
- Best Value Pharmacies Inc
All providers in Cleburne, TX · Hematology & Oncology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.