Individual provider Active NPI

Amito Mahendra Chandiwal, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1295978393
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N7066 Issued in TX
Practice address
2222 Greenhouse Rd Ste 200
Houston, TX 77084-7288
Phone
(281) 206-8070
Fax
(281) 206-8075
NPI assigned
Apr 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N7066 TX Primary

Addresses

Primary practice location

2222 Greenhouse Rd Ste 200
Houston, TX 77084-7288

Mailing address

2222 Greenhouse Rd Ste 200
Houston, TX 77084-7288
Phone (281) 206-8070

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
I20101104000203 TX Practitioner - Internal Medicine 4587858402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Katy PLLCGroup PAC ID 5092968107, 5 clinicians

Practice addresses (Care Compare)

2222 Greenhouse Rd
Suite 200
Houston, TX 77084-7288
Phone (281) 206-8070

Hospital & facility affiliations

  • PDR Home Health Services Home health agency, Houston, TX, CCN 459422
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Continuing Care Hospital Long-term care hospital, Katy, TX, CCN 452118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Katy PLLC Internal Medicine CurrentSince Feb 23, 2013 Accepting new patients
Noor-Chandiwal Actt MHT LLC Internal Medicine PastSince Jul 26, 2015 Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

2222 Greenhouse Rd
Ste 200
Houston, TX 77084
Phone (281) 206-8070

1331 W Grand Pkwy N
Ste 230
Katy, TX 77493
Phone (281) 392-8620

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

Interoperability endpoints

  • Direct secure messaging: amito.chandiwal@mak.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Canaan Land Hospice Care LLCHouston, TX, CCN 971690 Hospice Contracted Managing Employee (5%) Apr 4, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1295978393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 GREENHOUSE RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847288",
            "telephone_number": "281-206-8070",
            "fax_number": "281-206-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 GREENHOUSE RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847288",
            "telephone_number": "281-206-8070",
            "fax_number": "281-206-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDIWAL",
        "first_name": "AMITO",
        "middle_name": "MAHENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.