Keshavjivandas Syp, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KESHAVJIVANDAS SYP, PLLC

Practice address

12332 Bear PLZ Ste 100
Burleson, TX 76028-0283

Phone

(682) 285-0871

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Jay Rajen VyasNPI 1780976191

Title

Owner

Phone

(817) 615-8840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Keshavjivandas Syp, PLLC

  • Pain Clinic/Center
  • Burleson, TX
  • NPI 1710514815

  2961820584

  Same PAC ID

Tax ID family

Keshavjivandas Syp PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Keshavjivandas Syp, PLLC

  • Pain Clinic/Center
  • Burleson, TX
  • NPI 1710514815
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Rajen Vyas, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Burleson, TX
  • NPI 1780976191
  NPD Authorized official
• Corrie Virginia St. Pierre, AGACNP

  • Acute Care Nurse Practitioner
  • Burleson, TX
  • NPI 1881090173
  NPD
• Jessica Perez, FNP-C

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1184570392
  NPD (past)

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1356004790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12332 BEAR PLZ STE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12332 BEAR PLZ STE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280283",
            "telephone_number": "682-285-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESHAVJIVANDAS SYP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RAJEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-615-8840"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel E Kellam, M.ED., BCBA
• James Edward Kellam
• Kristie Kendrick
• Kenneth F. Eckert
• Kent Wise OD PA
• Keshavjivandas Syp, PLLC
• Khalid Bazir MD PA
• Madeline Kiger, PNP
• Jennifer Dawn Kincaid, LCSW
• Brianna Rose Kinney, LMSW

• Durable Medical Equipment & Medical Supplies in Burleson, TX
• Providers in Burleson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.