Individual provider Active NPI

Reshmibhat Parameswaranunni

  • Pediatrics Physician
  • Livingston, TX
National Provider Identifier
1255890182
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T5185 Issued in TX
Practice address
204 W Park Ste 200
Livingston, TX 77351-9337
Phone
(936) 327-4660
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X T5185 TX Primary

Addresses

Primary practice location

204 W Park Ste 200
Livingston, TX 77351-9337

Mailing address

204 W Park Ste 200
Livingston, TX 77351-9337
Phone (936) 327-4660

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
I20220901000125 TX Practitioner - Pediatric Medicine 9739410812 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5185TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Center of Southeast Texas CurrentSince Jul 1, 2022 Accepting new patients
Health Center of Southeast Texas CurrentSince Jul 1, 2022 Accepting new patients

Locations

307 N William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-2224

204 W Park
Livingston, TX 77352
Phone (936) 327-4660

204 W Park
Ste 100
Livingston, TX 77352

204 W Park
Ste 200
Livingston, TX 77352
Phone (936) 327-4660

11 Woodland Park Dr
Shepherd, TX 77371
Phone (936) 628-1100

Interoperability endpoints

  • Direct secure messaging: reshmibhat.parameswaranunni@hcost.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1255890182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W PARK STE 200",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519337",
            "telephone_number": "936-327-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W PARK STE 200",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519337",
            "telephone_number": "936-327-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAMESWARANUNNI",
        "first_name": "RESHMIBHAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T5185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.