Organization Active NPI

Naumit S. Bhandari P.a.

Doing business as Trident Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Shavano Park, TX
National Provider Identifier
1205395704
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NAUMIT S. BHANDARI P.A.
Doing business as
Trident Pain Management
Practice address
4450 Lockhill Selma Rd Ste 102
Shavano Park, TX 78249-4394
Phone
(210) 635-0021
Fax
(210) 635-0027
NPI assigned
Mar 14, 2019
Last updated
Feb 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Naumit Sri Indraneel Bhandari, MDNPI 1710207360
Title
President
Phone
(210) 995-4925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

4450 Lockhill Selma Rd Ste 102
Shavano Park, TX 78249-4394

Mailing address

4450 Lockhill Selma Rd Ste 102
Shavano Park, TX 78249-4394
Phone (210) 635-0021

Other practice location 1

2900 Mossrock Ste 390
San Antonio, TX 78230-5161
Phone (210) 995-0167

Other names 1

  • Trident Pain Management Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190617001465 TX Part B Supplier - Clinic/Group Practice 2264765668 Receives reassigned benefits from 2 practitioners
Practice locations: Shavano Park, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2180096Naumit S Bhandari PA4450 Lockhill Selma Road Ste 102, Shavano Park, TX 78249Provider-performed microscopyMar 5, 2028

National Provider Directory

National Provider Directory

Locations

4450 Lockhill Selma Rd
Ste 102
Shavano Park, TX 78249
Phone (210) 635-0021

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19217/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1205395704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 LOCKHILL SELMA RD STE 102",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782494394",
            "telephone_number": "210-635-0021",
            "fax_number": "210-635-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 LOCKHILL SELMA RD STE 102",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782494394",
            "telephone_number": "210-635-0021",
            "fax_number": "210-635-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Mossrock Ste 390",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782305161",
            "country_code": "US",
            "telephone_number": "210-995-0167",
            "fax_number": "210-635-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAUMIT S. BHANDARI P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "NAUMIT",
        "authorized_official_middle_name": "SRI INDRANEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-995-4925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trident Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trident Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shavano Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.