Individual provider Active NPI

Vishal Kudav, MD

  • Surgery Physician
  • Bellaire, TX
National Provider Identifier
1639551054
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
S5959 Issued in TX
Practice address
6700 West Loop S Ste 200E
Bellaire, TX 77401-4104
Phone
(713) 500-7250
NPI assigned
Jun 22, 2015
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X S5959 TX Primary

Addresses

Primary practice location

6700 West Loop S Ste 200E
Bellaire, TX 77401-4104

Mailing address

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20211008002748 MN Practitioner - General Surgery 2466765847 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhatti Gastroenterology Consultants PAGroup PAC ID 3678890209, 17 clinicians

Practice addresses (Care Compare)

1457 White Oak Dr
Chaska, MN 55318-2525
Phone (952) 368-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015018173MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bhatti Gi Surgery Center LLC CurrentSince Sep 28, 2021 Accepting new patients
Bhatti Gastroenterology Consultants, P.a. CurrentSince Sep 28, 2021 Accepting new patients
Southdale Specialty Surgery Center, LLC Surgery CurrentSince Apr 4, 2024 Accepting new patients
Minnesota Anesthesia Specialists PLLC Past Accepting new patients

Locations

1447 White Oak Dr
Chaska, MN 55318
Phone (952) 368-3800

1457 White Oak Dr
Chaska, MN 55318
Phone (800) 433-1439

6500 Barrie Rd
Edina, MN 55435
Phone (612) 263-7720

6500 Barrie Rd
Ste 200
Edina, MN 55435
Phone (612) 920-2761

6500 Barrie Rd
Ste 300
Minneapolis, MN 55435
Phone (952) 368-3800

Organizations & group practices 4

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 3

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1639551054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP S STE 200E",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014104",
            "telephone_number": "713-500-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDAV",
        "first_name": "VISHAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S5959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.