Individual provider Active NPI

Nandhika Wijay, M.D.

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1356602726
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
BP10044578 Issued in TX
Practice address
4306 Yoakum Blvd
Ste 520
Houston, TX 77006-5883
Phone
(409) 772-1255
NPI assigned
Jun 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X BP10044578 TX Primary

Addresses

Primary practice location

4306 Yoakum Blvd
Ste 520
Houston, TX 77006-5883

Mailing address

4306 Yoakum Blvd
Ste 520
Houston, TX 77006-5883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10044578TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nandhika.wijay.1@13131.direct.athenahealth.com
  • Direct secure messaging: nwijay@elitedermatology.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1356602726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 YOAKUM BLVD",
            "address_2": "STE 520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 YOAKUM BLVD",
            "address_2": "STE 520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065883",
            "telephone_number": "409-772-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJAY",
        "first_name": "NANDHIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "BP10044578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.