Individual provider Active NPI

Piyush Pravinkumar Darji, APRN

  • Acute Care Nurse Practitioner
  • Bryan, TX
National Provider Identifier
1326829565
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1111488 Issued in TX
Practice address
2700 E 29TH St Ste 220
Bryan, TX 77802-2586
Phone
(979) 774-4008
Fax
(866) 813-9464
NPI assigned
Oct 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1111488 TX
Gerontology Nurse Practitioner 363LG0600X 1111488 TX
Acute Care Nurse Practitioner 363LA2100X 1111488 TX Primary

Addresses

Primary practice location

2700 E 29TH St Ste 220
Bryan, TX 77802-2586

Mailing address

401 Anderson St Apt 3C
College Station, TX 77840-3202
Phone (281) 635-8130

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
I20231114000080 TX Practitioner - Nurse Practitioner 5991152993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1111488TXMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1326829565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ANDERSON ST APT 3C",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403202",
            "telephone_number": "281-635-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 220",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022586",
            "telephone_number": "979-774-4008",
            "fax_number": "866-813-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARJI",
        "first_name": "PIYUSH",
        "middle_name": "PRAVINKUMAR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1111488",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1111488",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1111488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.