Individual provider Active NPI

Vijaya L. Dwibhashi, M.D.

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1669612057
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N3624 Issued in TX
Practice address
9555 Spring Green Blvd Ste H
Katy, TX 77494-7940
Phone
(281) 394-0093
Fax
(281) 371-0121
NPI assigned
Feb 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N3624 TX Primary

Addresses

Primary practice location

9555 Spring Green Blvd Ste H
Katy, TX 77494-7940

Mailing address

PO Box 723
Fulshear, TX 77441-0723
Phone (281) 394-0093

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
I20091023000429 TX Practitioner - Internal MedicinePractitioner - Hospitalist 3870630874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3624TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Nov 1, 2009 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Ut Physicians Internal Medicine CurrentSince Nov 1, 2009 Accepting new patients
Harris County Hospital District Past Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Past Accepting new patients

Locations

6410 Fannin St
Ste 600
Houston, TX 77030
Phone (832) 325-7100

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1331 W Grand Pkwy N
Ste 230
Katy, TX 77493
Phone (281) 392-8620

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

Interoperability endpoints

  • Direct secure messaging: vijaya.dwibhashi@mak.eclinicaldirectplus.com

Organizations & group practices 5

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 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": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1669612057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774410723",
            "telephone_number": "281-394-0093",
            "fax_number": "281-371-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SPRING GREEN BLVD STE H",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947940",
            "telephone_number": "281-394-0093",
            "fax_number": "281-371-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWIBHASHI",
        "first_name": "VIJAYA",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.