Individual provider Active NPI

Uma Mahesh Kanojia, M.D.

  • Pediatrics Physician
  • Beaumont, TX
National Provider Identifier
1467458299
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F8908 Issued in TX
Practice address
3455 Stagg Dr
Ste 101
Beaumont, TX 77701-4520
Phone
(409) 835-2082
Fax
(409) 835-3943
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F8908 TX
Pediatrics Physician 208000000X F8908 TX Primary

Addresses

Primary practice location

3455 Stagg Dr
Ste 101
Beaumont, TX 77701-4520

Mailing address

3455 Stagg Dr
Ste 101
Beaumont, TX 77701-4520
Phone (409) 835-2082

Other identifiers 1

IdentifierTypeStateIssuer
121049401MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
F8908TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467458299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 STAGG DR",
            "address_2": "STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014520",
            "telephone_number": "409-835-2082",
            "fax_number": "409-835-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 STAGG DR",
            "address_2": "STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014520",
            "telephone_number": "409-835-2082",
            "fax_number": "409-835-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOJIA",
        "first_name": "UMA",
        "middle_name": "MAHESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F8908",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F8908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121049401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.