Active NPI
Damodharan Vaidyanathan, M.D
- Hospitalist Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- N3364
- Practice address
- 11800 Astoria Blvd
Houston, TX 77089-6041 - Phone
- (508) 847-0045
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 202139 | LA | |
| Hospitalist Physician | 208M00000X | N3364 | TX | Primary |
| Internal Medicine Physician | 207R00000X | N3364 | TX |
Addresses
Primary practice location
11800 Astoria Blvd
Houston, TX 77089-6041
Mailing address
4703 Stratford LN
Sugar Land, TX 77479-4561
Phone (508) 847-0045
Other practice location 1
4703 Stratford Lane
Sugar Land, TX 77479
Phone (508) 847-0045
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
- Hospitalist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6259
915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222
Hospital & facility affiliations
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202139 | LA | MD | Internal Medicine Physician |
| N3364 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Memorial Hermann Medical Group | Internal Medicine | Current | Accepting new patients |
| Gulf Coast Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Jefferson Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Texas Em-I Medical Services, PA | Internal Medicine | Past | Accepting new patients |
| Memorial Hermann Health System | Past | Accepting new patients | |
| Hni Medical Services | Internal Medicine | Past | Accepting new patients |
| Wharton Physician Services PA | Hospitalist | Past | Accepting new patients |
Locations
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
921 Gessner Rd
Rm 317
Houston, TX 77024
Phone (713) 242-3768
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
9250 Pinecroft Dr
Ste N2101
Shenandoah, TX 77380
Phone (713) 897-2307
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
Internal Medicine
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1922889187
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1598546764
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- Internal Medicine Physician
- Greenville, TX
- NPI 1699981720
-
- Hospitalist Physician
- Wharton, TX
- NPI 1093049314
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1376753087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4703 STRATFORD LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794561",
"telephone_number": "508-847-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 ASTORIA BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896041",
"telephone_number": "508-847-0045"
}
],
"practiceLocations": [
{
"address_1": "4703 Stratford Lane",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "77479",
"country_code": "US",
"telephone_number": "508-847-0045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAIDYANATHAN",
"first_name": "DAMODHARAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "202139",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "N3364",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3364",
"primary": false
}
],
"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 Sep 24, 2024; 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.