Individual provider Active NPI

Sandeep Denduluri

  • Psychiatry Physician
  • Bellaire, TX
National Provider Identifier
1457528218
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD039845 Issued in DC
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.

View all 16

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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
133241CAMDPsychiatry Physician
MD039845DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Aug 1, 2019 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 CurrentSince Sep 30, 2024 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
County of Santa Clara CurrentSince Aug 1, 2019 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Feb 8, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Aug 1, 2019 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Feb 8, 2024 Accepting new patients
Telecare Corporation CurrentSince Apr 20, 2025 Accepting new patients
County of Santa Clara CurrentSince Aug 1, 2019 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Sep 30, 2024 Accepting new patients
Telecare Corporation Current Accepting new patients
St. Joseph Hospital, LLC PastSince Apr 30, 2018 Accepting new patients
The Harris Center for Mental Health and Idd PastSince Oct 29, 2018 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

  • Direct secure messaging: sandeepdenduluri@tdh.allscriptsdirect.net
  • Direct secure messaging: sdenduluri876159@ahs.direct-ci.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 133241 CA
Psychiatry Physician 2084P0800X N6254 TX
Psychiatry Physician 2084P0800X MD039845 DC Primary

Addresses

NPPES NPI Registry

Primary 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

Sources for this page

Verify at the official NPI Registry.