NPIMap

Individual provider Active NPI

Bochra Jandali, MD

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1396151304
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
R8019 Issued in TX
Practice address
6410 Fannin St Ste 450
Houston, TX 77030-3008
Phone
(713) 500-6900
Fax
(713) 500-0580
NPI assigned
Jul 10, 2014
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X R8019 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 450
Houston, TX 77030-3008

Mailing address

6410 Fannin St Ste 450
Houston, TX 77030-3008
Phone (713) 486-3100

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
I20181001001902 TX Practitioner - RheumatologyPractitioner - Internal Medicine 4587915509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians
Rheumacare Center PLLCGroup PAC ID 0547735821, 2 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Houston, TX 77030-3000

6410 Fannin St
Houston, TX 77030-3005

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-0093

6431 Fannin St
MSB2.100
Houston, TX 77030-1501
Phone (713) 500-7700

9230 Katy Fwy
Suite 410
Houston, TX 77055-7468
Phone (832) 404-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Multi-Specialty CurrentSince Feb 1, 2019 Accepting new patients
Ut Physicians Multi-Specialty CurrentSince Feb 1, 2019 Accepting new patients
Rheumacare Center PLLC Rheumatology Current Accepting new patients
Ess of Port Lavaca LLC Multi-Specialty CurrentSince Aug 3, 2018 Accepting new patients

Locations

6410 Fannin St
Ste 450
Houston, TX 77030
Phone (713) 486-3100

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
Houston, TX 77030
Phone (713) 500-5800

9230 Katy Fwy
Ste 410
Houston, TX 77055
Phone (281) 556-6622

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

Interoperability endpoints

  • Direct secure messaging: bjandali11192@direct.uth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCBED/Endpoint/IJCBED

Organizations & group practices 4

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 9

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1396151304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303008",
            "telephone_number": "713-486-3100",
            "fax_number": "713-512-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303008",
            "telephone_number": "713-500-6900",
            "fax_number": "713-500-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDALI",
        "first_name": "BOCHRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "R8019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.