Active NPI
Nita S. Gandhi, M.D.
- Pediatrics Physician
- Pearland, TX
National Provider Identifier
1467422956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K1818
- Practice address
- 9721 Broadway St Ste 111
Pearland, TX 77584-8170 - Phone
- (713) 436-3637
- Fax
- (713) 436-3639
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K1818 | TX | Primary |
Addresses
Primary practice location
9721 Broadway St Ste 111
Pearland, TX 77584-8170
Mailing address
PO Box 891445
Houston, TX 77289-1445
Phone (713) 436-3637
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172252201 | Medicaid | TX | |
| 172252202 | Medicaid | TX | |
| 106343008 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverlake Pediatric Clinc | Past | Accepting new patients | |
| Silverlake Pediatric Clinic, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- nita.gandhi@slpedc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Pearland, TX
- NPI 1457736563
-
dba Silverlake Pediatric Clinic
- Pediatrics Physician
- Pearland, TX
- NPI 1578781027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467422956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 891445",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772891445",
"telephone_number": "713-436-3637",
"fax_number": "713-436-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9721 BROADWAY ST STE 111",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848170",
"telephone_number": "713-436-3637",
"fax_number": "713-436-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "NITA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K1818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172252201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172252202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106343008",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.