Individual provider Active NPI

Pareesa Nathani

  • Pediatrics Physician
  • Spring, TX
National Provider Identifier
1447871132
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U5468 Issued in TX
Practice address
18607 Kuykendahl Rd
Spring, TX 77379-3453
Phone
(281) 370-1122
NPI assigned
May 4, 2020
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U5468 TX Primary
Pediatrics Physician 208000000X BP10072199 TX

Addresses

Primary practice location

18607 Kuykendahl Rd
Spring, TX 77379-3453

Mailing address

18607 Kuykendahl Rd
Spring, TX 77379-3453
Phone (281) 370-1122

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601001561 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9739500695

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5468TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shams Nandwani, MD, PA Pediatrics PastSince Aug 6, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1447871132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793453",
            "telephone_number": "281-370-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793453",
            "telephone_number": "281-370-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHANI",
        "first_name": "PAREESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U5468",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10072199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.