Individual provider Active NPI

Arpan Banerjee

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1285885574
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06709 Issued in TX
Practice address
7322 Southwest Fwy Ste 160
Houston, TX 77074
Phone
(713) 532-6884
Fax
(713) 532-5756
NPI assigned
Oct 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-00888 NC
Physician Assistant 363A00000X PA06709 TX Primary

Addresses

Primary practice location

7322 Southwest Fwy Ste 160
Houston, TX 77074

Mailing address

7322 Southwest Fwy Ste 160
Houston, TX 77074-2073
Phone (713) 532-6884

Other practice location 1

9100 Southwest Fwy
215
Houston, TX 77074-1519
Phone (713) 777-1508

Other practice location 2

9100 Southwest Fwy
215
Houston, TX 77074-1519
Phone (713) 777-1508

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402001711 TX Practitioner - Physician Assistant 4587895610 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-00888NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jan 1, 2019 Accepting new patients
Kirkwood Medical Service Inc Past Accepting new patients

Locations

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

Organizations & group practices 4

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": "1223078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1285885574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742073",
            "telephone_number": "713-532-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-532-6884",
            "fax_number": "713-532-5756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Southwest Fwy",
            "address_2": "215",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741519",
            "country_code": "US",
            "telephone_number": "713-777-1508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Southwest Fwy",
            "address_2": "215",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741519",
            "country_code": "US",
            "telephone_number": "713-777-1508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "ARPAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-04",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-00888",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.