Active NPI
Asha Mandava, MD
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1366538753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q6768
- Practice address
- 11811 FM 1960 Rd W
Suite 100
Houston, TX 77065-3827 - Phone
- (281) 970-2337
- Fax
- (281) 970-2318
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q6768 | TX | Primary |
Addresses
Primary practice location
11811 FM 1960 Rd W
Suite 100
Houston, TX 77065-3827
Mailing address
PO Box 841969
University of Illinois Medical Center
Dallas, TX 75284-7232
Phone (832) 824-2999
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
| License | State | Type | Specialty |
|---|---|---|---|
| Q6768 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| Starlight Pediatric Urgent Care | Pediatrics | Past | Accepting new patients |
| Beth Israel Medical Center | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- amandava188308@prddirect.texaschildrens.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1366538753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841969",
"address_2": "UNIVERSITY OF ILLINOIS MEDICAL CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847232",
"telephone_number": "832-824-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 FM 1960 RD W",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653827",
"telephone_number": "281-970-2337",
"fax_number": "281-970-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDAVA",
"first_name": "ASHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q6768",
"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 Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.