Individual provider Active NPI

Sanjay Bakul Pandya, M.D.

  • Interventional Cardiology Physician
  • Harker Heights, TX
National Provider Identifier
1639277353
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
N9478 Issued in TX
Practice address
800 W Central Texas Expy
Suite 355
Harker Heights, TX 76548-1899
Phone
(254) 526-2085
Fax
(254) 526-9569
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X N9478 TX
Interventional Cardiology Physician 207RI0011X N9478 TX Primary

Addresses

Primary practice location

800 W Central Texas Expy
Suite 355
Harker Heights, TX 76548-1899

Mailing address

7800 Shoal Creek Blvd
Suite 205N
Austin, TX 78757-1098
Phone (512) 206-4341

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
I20110929000487 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9335310010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

800 W Central Expy
Suite 355
Harker Heights, TX 76548
Phone (254) 526-2085

Hospital & facility affiliations

  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043
  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080
  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting79
Varicose vein removal43
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease CurrentSince May 1, 2013 Accepting new patients
HH Killeen Health System LLC Cardiovascular Disease CurrentSince May 29, 2013 Accepting new patients

Locations

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

801 W 38th St
Ste 400
Austin, TX 78705
Phone 51230613232013

7800 Shoal Creek Blvd
Ste 205N
Austin, TX 78757
Phone (512) 206-4300

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

800 W Central Texas Expy
Ste 355
Harker Heights, TX 76548
Phone (254) 526-2085

110 Mountain Lion Rd
Ste A
Harker Heights, TX 76548
Phone (254) 618-4900

2410 Round Rock Ave
Ste 110
Round Rock, TX 78681
Phone (512) 341-0889

2410 Round Rock Ave
Ste 170
Round Rock, TX 78681
Phone (512) 439-1004

Interoperability endpoints

  • Direct secure messaging: 2560-pandya-sanjay@direct.leadingreach.com
  • Direct secure messaging: 2561-pandya-jay@direct.leadingreach.com
  • Direct secure messaging: 2564-pandya-jay@direct.leadingreach.com
  • Direct secure messaging: 2375-pandya-sanjay@direct.leadingreach.com
  • Direct secure messaging: spandya262087@ahs.direct-ci.com
  • Direct secure messaging: 6336-pandya-sanjay@direct.leadingreach.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.

Hospital & facility affiliations 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1639277353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD",
            "address_2": "SUITE 205N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571098",
            "telephone_number": "512-206-4341",
            "fax_number": "512-407-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY",
            "address_2": "SUITE 355",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481899",
            "telephone_number": "254-526-2085",
            "fax_number": "254-526-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "SANJAY",
        "middle_name": "BAKUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N9478",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N9478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.