Individual provider Active NPI

Prativa N Bhandari

  • Family Nurse Practitioner
  • Fulshear, TX
National Provider Identifier
1619445210
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138705 Issued in TX
Practice address
7629 Tiki Dr
Fulshear, TX 77441-1548
Phone
(281) 346-0913
Fax
(281) 346-0913
NPI assigned
Nov 13, 2018
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138705 TX Primary

Addresses

Primary practice location

7629 Tiki Dr
Fulshear, TX 77441-1548

Mailing address

29206 Grand Gorge Dr
Katy, TX 77494-5285
Phone (843) 224-9094

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824000095 TX Practitioner - Nurse Practitioner 0840673885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heidi Schultz, M.D., P.a.Group PAC ID 8224047824, 7 clinicians

Practice addresses (Care Compare)

7629 Tiki Dr
Fulshear, TX 77441-1548
Phone (281) 346-0018

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Center of Houston PA CurrentSince Aug 14, 2022 Accepting new patients
Heidi Schultz, M.D., P.a. CurrentSince Aug 17, 2022 Accepting new patients

Locations

600 Jefferson St
Ste 404
Lafayette, LA 70501

29818 FM 1093 Rd
Ste 200
Fulshear, TX 77441
Phone (281) 346-8326

7629 Tiki Dr
Fulshear, TX 77441
Phone (281) 346-0018

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDECA
  • Direct secure messaging: prativa.bhandari@fulm.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1619445210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29206 GRAND GORGE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945285",
            "telephone_number": "843-224-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 TIKI DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411548",
            "telephone_number": "281-346-0913",
            "fax_number": "281-346-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARI",
        "first_name": "PRATIVA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

Verify at the official NPI Registry.