Active NPI
Sandeep Denduluri
- Psychiatry Physician
- Bellaire, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD039845
- Practice address
- 104 Englewood St
Bellaire, TX 77401-5340 - Phone
- (985) 381-3587
- NPI assigned
- May 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
TX
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
CA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
CA
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
- Rural Health Clinic/Center
- Overton, TX
- NPI 1689496812
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1376538991
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Georgetown University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2100 Powell St
Suite 400
Emeryville, CA 94608-1872
2101 Courage Dr
Fairfield, CA 94533-6717
2422 20TH St SW
Jamestown, ND 58401-6201
P O Box
Suite 398407
San Francisco, CA 94139-8407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171004002282 | CA | Practitioner - Psychiatry | 2961545348 | Reassigns benefits to 5 organizations |
| I20240418001855 | TX | Practitioner - Psychiatry | 2961545348 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133241 | CA | MD | Psychiatry Physician |
| MD039845 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Telecare Corporation | Current | Accepting new patients | |
| St. Joseph Hospital, LLC | Past | Accepting new patients | |
| The Harris Center for Mental Health and Idd | Past | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
900 Hyde St
Ofc
San Francisco, CA 94109
Phone (415) 353-6357
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
800 N 1st St
San Jose, CA 95112
Phone (408) 299-0462
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
425 E Santa Clara St
San Jose, CA 95113
Phone (669) 245-3428
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
Interoperability endpoints
- sandeepdenduluri@tdh.allscriptsdirect.net
- sdenduluri876159@ahs.direct-ci.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 133241 | CA | |
| Psychiatry Physician | 2084P0800X | N6254 | TX | |
| Psychiatry Physician | 2084P0800X | MD039845 | DC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
104 Englewood St
Bellaire, TX 77401-5340
Mailing address
104 Englewood St
Bellaire, TX 77401-5340
Phone (985) 381-3587
Other practice location 1
900 Hyde St
Medical Staff Office
San Francisco, CA 94109-4806
Phone (415) 353-6357
Other practice location 2
5901 Long Dr
Houston, TX 77087-1003
Phone (713) 970-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2018.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1457528218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ENGLEWOOD ST",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774015340",
"telephone_number": "985-381-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ENGLEWOOD ST",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774015340",
"telephone_number": "985-381-3587"
}
],
"practiceLocations": [
{
"address_1": "900 Hyde St",
"address_2": "Medical Staff Office",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941094806",
"country_code": "US",
"telephone_number": "415-353-6357",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5901 Long Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770871003",
"country_code": "US",
"telephone_number": "713-970-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENDULURI",
"first_name": "SANDEEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "133241",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "N6254",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD039845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
- Deborah Cooper-Newland DDS
- Debra F. Latimer Nutrition and Diabetes Associates
- Debra F. Latimer Nutrition and Diabetes Associates, LLC
- Dee McCrary Jr MD PA
- Dorene L Delaloye, PSY.D.
- Derm Surgery Associates P.a.
- Diana E Desai, MD
- Allen Deutsch, MD
- Faizmeen Pirali Dhuka, MSN, APRN, FNP-C
- Dialyspa VI LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.