NPIMap

Individual provider Active NPI

Satish V Iduru, MD

  • Gastroenterology Physician
  • Baytown, TX
National Provider Identifier
1417045311
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
N5738 Issued in TX
Practice address
4201 Garth Rd Ste 309
Baytown, TX 77521-3156
Phone
(281) 671-5960
Fax
(281) 970-6639
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 152373 MT
Gastroenterology Physician 207RG0100X N5738 TX Primary

Addresses

Primary practice location

4201 Garth Rd Ste 309
Baytown, TX 77521-3156

Mailing address

1900 North Loop W Ste 390
Houston, TX 77018-8148
Phone (713) 694-6066

Other practice location 1

1900 North Loop W Ste 390
Houston, TX 77018-8148
Phone (713) 694-6066

Other practice location 2

320 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (406) 752-7441

Other identifiers 1

IdentifierTypeStateIssuer
362227602MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100903000131 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 0749287019 Reassigns benefits to 2 organizations
I20250410000701 MT Practitioner - GastroenterologyPractitioner - Internal Medicine 0749287019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
G I Specialists of Houston, L L PGroup PAC ID 3779654801, 6 clinicians

Practice addresses (Care Compare)

17903 W Lake Houston Pkwy
Suite 103
Humble, TX 77346-3954
Phone (281) 900-7641

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy155
Upper gastrointestinal (GI) endoscopy for acid reflux97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
152373MTMDGastroenterology Physician
N5738TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G I Specialists of Houston, L L P Gastroenterology CurrentSince Jul 1, 2010 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Mar 31, 2025 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Mar 31, 2025 Accepting new patients
North Loop Anesthesia Care Consultants CurrentSince Jan 1, 2021 Accepting new patients
Uhhs Bedford Past Accepting new patients
Hospitalist Medicine Physicians of Summit County, LTD. Past Accepting new patients
Uap North Freeway Endo, PLLC Past Accepting new patients
Hospitalist Medicine Physicians of Ashtabula County, LTD Past Accepting new patients

Locations

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

320 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 752-7441

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

855 Rollingbrook Dr
Ste 125
Baytown, TX 77521
Phone (281) 900-7641

1900 North Loop W
Ste 390
Houston, TX 77018
Phone (713) 568-4876

1900 North Loop W
Ste 550
Houston, TX 77018
Phone (713) 457-2750

1740 W 27th St
Ste 185
Houston, TX 77008
Phone (713) 426-1320

17903 W Lake Houston Pkwy
Ste 103
Humble, TX 77346
Phone (281) 900-7641

8330 Sterling St
Irving, TX 75063

Interoperability endpoints

  • Direct secure messaging: satish.iduru.1@13131.direct.athenahealth.com
  • Direct secure messaging: isatish@direct.uspi.com
  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • FHIR API: https://api.platform.athenahealth.com/16279/brand/1/csg/1/fhir/r4
  • Direct secure messaging: satish.iduru.1@16279.direct.athenahealth.com
  • Direct secure messaging: siduru27451@directhoustonmethodist.org

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.

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1417045311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NORTH LOOP W STE 390",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188148",
            "telephone_number": "713-694-6066",
            "fax_number": "713-694-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD STE 309",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213156",
            "telephone_number": "281-671-5960",
            "fax_number": "281-970-6639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 North Loop W Ste 390",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770188148",
            "country_code": "US",
            "telephone_number": "713-694-6066",
            "fax_number": "713-694-6067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "406-752-7441",
            "fax_number": "406-257-0304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDURU",
        "first_name": "SATISH",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MT",
            "license": "152373",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N5738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362227602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "320 Sunnyview Ln",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.