Active NPI
Srinivas R Panja, MD
- Endocrinology, Diabetes & Metabolism Physician
- Kingwood, TX
National Provider Identifier
1336298199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- N7647
- Practice address
- 19701 Kingwood Dr
BLDG 4, Ste a
Kingwood, TX 77339 - Phone
- (713) 936-2966
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 44673 | WI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | N7647 | TX | Primary |
Addresses
Primary practice location
19701 Kingwood Dr
BLDG 4, Ste a
Kingwood, TX 77339
Mailing address
PO Box 131913
Spring, TX 77393-1913
Phone (713) 936-2966
Other practice location 1
920 Medical Plaza Dr
Ste 350
The Woodlands, TX 77385
Phone (713) 936-2966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34633900 | Medicaid | WI |
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
- Endocrinology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18648 McKay Dr
Suite 100
Humble, TX 77338-5724
Phone (713) 936-2966
26023 Oak Ridge Dr
Suite a
Spring, TX 77380-1956
Phone (713) 936-2966
920 Medical Plaza Dr
Suite 350
Shenandoah, TX 77380-3259
Phone (713) 936-2966
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Houston Methodist the Woodlands Hospital
- Memorial Hermann Northeast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.43 of 100
- Quality
- 74.19
- Promoting interoperability
- 55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7647 | TX | MD | Endocrinology, Diabetes & Metabolism Physician |
| 44673 | WI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Srinivas R Panja MD PA | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
18648 McKay Dr
Ste 100
Humble, TX 77338
Phone (281) 446-0148
19701 Kingwood Dr
Bldg 4
Kingwood, TX 77339
Phone (281) 319-4700
920 Medical Plaza Dr
Ste 350
Shenandoah, TX 77380
Phone (281) 296-0669
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Kingwood, TX
- NPI 1407151467
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1336298199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 131913",
"city": "SPRING",
"state": "TX",
"postal_code": "773931913",
"telephone_number": "713-936-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19701 KINGWOOD DR",
"address_2": "BLDG 4, STE A",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "77339",
"telephone_number": "713-936-2966"
}
],
"practiceLocations": [
{
"address_1": "920 Medical Plaza Dr",
"address_2": "Ste 350",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "77385",
"country_code": "US",
"telephone_number": "713-936-2966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANJA",
"first_name": "SRINIVAS",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "44673",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "N7647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34633900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.