Individual provider Active NPI

Bhavana Yerabati Mocherla, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1568680593
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q8570 Issued in TX
Practice address
12823 Gulf Fwy
Houston, TX 77034-4807
Phone
(713) 804-5962
Fax
(866) 594-1327
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q8570 TX Primary

Addresses

Primary practice location

12823 Gulf Fwy
Houston, TX 77034-4807

Mailing address

3384 Leafstone LN
Pearland, TX 77584-6406
Phone (432) 528-9752

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127000821 TX Practitioner - Family Practice 9638191943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovista Provider Group Texas PAGroup PAC ID 6901235423, 24 clinicians

Practice addresses (Care Compare)

12823 Gulf Fwy
Houston, TX 77034-4807
Phone (866) 325-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q8570TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovista Provider Group Texas PA Family Medicine Current Accepting new patients
Innovista Provider Group Texas PA Family Medicine CurrentSince Oct 31, 2025 Accepting new patients
Innovista Provider Group Texas PA Family Medicine CurrentSince Sep 4, 2022 Accepting new patients

Locations

12586 Westheimer Rd
Houston, TX 77077
Phone (713) 804-5963

12823 Gulf Fwy
Houston, TX 77034
Phone (713) 804-5962

18532 Kuykendahl Rd
Spring, TX 77379
Phone (713) 804-5960

Interoperability endpoints

  • Direct secure messaging: bmocherla25678@innovista.gardenplot.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1568680593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 LEAFSTONE LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775846406",
            "telephone_number": "432-528-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12823 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "713-804-5962",
            "fax_number": "866-594-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCHERLA",
        "first_name": "BHAVANA",
        "middle_name": "YERABATI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.