NPIMap

Individual provider Active NPI

Subhadra Bandhakavi, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1356383152
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4860 Issued in TX
Practice address
11721 Fuqua St
Houston, TX 77034-4541
Phone
(281) 484-3500
Fax
(281) 484-3517
NPI assigned
Jun 13, 2006
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 255368 NY
Internal Medicine Physician 207R00000X L4860 TX Primary

Addresses

Primary practice location

11721 Fuqua St
Houston, TX 77034-4541

Mailing address

11721 Fuqua St
Houston, TX 77034-4541
Phone (281) 484-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000864 TX Practitioner - Internal MedicinePractitioner - Other (Physician) 8729136734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T Gopal and Associates MD PAGroup PAC ID 0547242232, 2 clinicians

Practice addresses (Care Compare)

11721 Fuqua St
Houston, TX 77034-4541
Phone (281) 484-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue163
Removal of skin lesions30
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T. Gopal & Associates, M.D., P.a. Internal Medicine CurrentSince Sep 25, 2013 Accepting new patients
Liberty County Hospital District No 1 Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

10594 Fuqua St
Houston, TX 77089
Phone (281) 484-3500

11721 Fuqua St
Houston, TX 77034
Phone (281) 484-3500

Interoperability endpoints

  • Direct secure messaging: sbandhakavi468624@direct.stlukeshealth.org
  • Direct secure messaging: sbandhakavi27648@memorialhermann.direct-ci.com

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 10

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1356383152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344541",
            "telephone_number": "281-484-3500",
            "fax_number": "281-484-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344541",
            "telephone_number": "281-484-3500",
            "fax_number": "281-484-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDHAKAVI",
        "first_name": "SUBHADRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "255368",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.