Individual provider Active NPI

Srijaya Bandi, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1295907525
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N8612 Issued in TX
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111021000393 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 2365615168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
1960 Physician AssociatesGroup PAC ID 1153611975, 19 clinicians

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

LicenseStateTypeSpecialty
4301090402MIMDFamily Medicine Physician
N8612TXMDFamily Medicine Physician
53373-20WIMDFamily Medicine Physician
0101247080VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
1960 Physician Associates CurrentSince May 8, 2016 Accepting new patients
David P Ellent PLLC CurrentSince Oct 1, 2019 Accepting new patients
David P Ellent PLLC CurrentSince Oct 1, 2019 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.