Active NPI
Gargeyi Bandaru, MD
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q2734
- Practice address
- 1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-2820 - Phone
- (817) 250-4906
- Fax
- (817) 250-1815
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 086420 | OH | |
| Internal Medicine Physician | 207R00000X | Q2734 | TX | Primary |
Addresses
Primary practice location
1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-2820
Mailing address
1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-2820
Phone (817) 250-4906
Other names 1
- Gargeyi K
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625000114 | TX | Practitioner - Internal Medicine | 0345276101 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7777
Hospital & facility affiliations
- Methodist Charlton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q2734 | TX | MD | Internal Medicine Physician |
| 086420 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| VKN Health Services PLLC | Internal Medicine | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of TX, PLLC | Hospitalist | Current | Accepting new patients |
| Methodist Hospitals of Dallas | Past | Accepting new patients | |
| Orthopedic Trauma Services LTD | Past | Accepting new patients |
Locations
999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
224 W Pleasant Run Rd
Cedar Hill, TX 75104
Phone (972) 291-5977
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
1300 W Terrell Ave
#2
Fort Worth, TX 76104
Phone (817) 820-4906
1300 W Terrell Ave
Ste K230
Fort Worth, TX 76104
Phone (817) 250-7240
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine, TX
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
Hospitalist, TX
-
- Internal Medicine Physician
- Southlake, TX
- NPI 1972969640
Internal Medicine, TX
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1053767897
Internal Medicine
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
- Orthopaedic Surgery Physician
- Columbus, OH
- NPI 1285622688
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1528040193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W TERRELL AVE STE K230",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042820",
"telephone_number": "817-250-4906",
"fax_number": "817-250-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W TERRELL AVE STE K230",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042820",
"telephone_number": "817-250-4906",
"fax_number": "817-250-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDARU",
"first_name": "GARGEYI",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "086420",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q2734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GARGEYI",
"last_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.