Individual provider Active NPI

Kavita Mahajan-Merritt, D.O.

  • Obstetrics & Gynecology Physician
  • Humble, TX
National Provider Identifier
1457517419
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N2659 Issued in TX
Practice address
5510 Atascocita Rd
Suite 290
Humble, TX 77346-2947
Phone
(281) 312-5400
Fax
(281) 312-5440
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N2659 TX Primary

Addresses

Primary practice location

5510 Atascocita Rd
Suite 290
Humble, TX 77346-2947

Mailing address

23802 Highway 59 N
Kingwood, TX 77339-1510
Phone (281) 312-5400

Other identifiers 2

IdentifierTypeStateIssuer
207702601OtherTXMEDICAID HUMBLE
207702602OtherTXMEDICAID KINGWOOD

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
I20091116000537 TX Practitioner - Obstetrics/Gynecology 2961540752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The BFS Medical Partners, PLLCGroup PAC ID 1052379476, 10 clinicians

Practice addresses (Care Compare)

350 Kingwood Medical Dr
Suite 350
Kingwood, TX 77339-6405

350 Kingwood Medical Dr
Suite 350
Kingwood, TX 77339-6406
Phone (281) 359-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The BFS Medical Partners, PLLC Obstetrics & Gynecology CurrentSince Sep 1, 2013 Accepting new patients
KPH-Consolidation, Inc. Past Accepting new patients
Advanced Women'S Healthcare Obstetrics & Gynecology Past Accepting new patients
Her Healthcare LLP Obstetrics & Gynecology Past Accepting new patients

Locations

18321 W Lake Houston Pkwy
Ste 100
Kingwood, TX 77346
Phone (281) 359-7000

350 Kingwood Medical Dr
Ste 350
Kingwood, TX 77339
Phone (281) 359-7000

Interoperability endpoints

  • Direct secure messaging: kavitamahajan@cfw.nablemd.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/21544/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1457517419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23802 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391510",
            "telephone_number": "281-312-5400",
            "fax_number": "281-312-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ATASCOCITA RD",
            "address_2": "SUITE 290",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462947",
            "telephone_number": "281-312-5400",
            "fax_number": "281-312-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN-MERRITT",
        "first_name": "KAVITA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N2659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HUMBLE",
            "identifier": "207702601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KINGWOOD",
            "identifier": "207702602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.