Active NPI
Srijaya Bandi, M.D.
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N8612
- Practice address
- 837 Cypress Creek Pkwy
Suite 105
Houston, TX 77090-3423 - Phone
- (281) 586-3888
- Fax
- (281) 440-2020
- NPI assigned
- Mar 26, 2008
- Last updated
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0101247080 | VA | |
| Family Medicine Physician | 207Q00000X | 4301090402 | MI | |
| Family Medicine Physician | 207Q00000X | 53373-20 | WI | |
| Family Medicine Physician | 207Q00000X | N8612 | TX | Primary |
Addresses
Primary practice location
837 Cypress Creek Pkwy
Suite 105
Houston, TX 77090-3423
Mailing address
20320 Northwest Fwy
Suite 900
Jersey Village, TX 77065-5641
Phone (281) 453-7232
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
837 Cypress Creek Pkwy
Suite 105
Houston, TX 77090-3422
Phone (281) 586-3888
837 Cypress Creek Pkwy
Suite 105
Houston, TX 77090-3423
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090402 | MI | MD | Family Medicine Physician |
| N8612 | TX | MD | Family Medicine Physician |
| 53373-20 | WI | MD | Family Medicine Physician |
| 0101247080 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1960 Physician Associates | Current | Accepting new patients | |
| David P Ellent PLLC | Current | Accepting new patients | |
| David P Ellent PLLC | Current | Accepting new patients |
Locations
9740 Barker Cypress Rd
Ste 108B
Cypress, TX 77433
Phone (281) 371-6864
15990 N Barkers Landing Rd
Houston, TX 77079
837 FM 1960 Rd W
Ste 105
Houston, TX 77090
Phone (281) 453-7158
20320 Northwest Fwy
Ste 500
Jersey Village, TX 77065
Phone (281) 453-7110
20320 Northwest Fwy
Ste 900
Jersey Village, TX 77065
Phone (281) 453-7017
22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380
2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1215391941
-
- Pulmonary Disease Physician
- Spring, TX
- NPI 1245777440
-
dba Genesis Medical Group
- Clinical Medical Laboratory
- Kingwood, TX
- NPI 1891348959
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baytown, TX
- NPI 1457820995
-
dba Independence Heights Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1780436287
-
dba TOPS Surgical Specialty Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1144203662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1295907525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20320 NORTHWEST FWY",
"address_2": "SUITE 900",
"city": "JERSEY VILLAGE",
"state": "TX",
"postal_code": "770655641",
"telephone_number": "281-453-7232",
"fax_number": "281-440-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 CYPRESS CREEK PKWY",
"address_2": "SUITE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770903423",
"telephone_number": "281-586-3888",
"fax_number": "281-440-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDI",
"first_name": "SRIJAYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0101247080",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301090402",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "53373-20",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N8612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.