Active NPI
Deepa Iyengar, M.D.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1700817129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K6389
- Practice address
- 6410 Fannin St Ste 230
Houston, TX 77030-3002 - Phone
- (323) 256-5008
- Fax
- (713) 512-2203
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K6389 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 230
Houston, TX 77030-3002
Mailing address
6410 Fannin St Ste 170
Houston, TX 77030-3003
Phone (832) 325-6500
Other practice location 1
6700 West Loop S Ste 520
Bellaire, TX 77401-4139
Phone (713) 572-8122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044946401 | Medicaid | TX | |
| 86654J | Other | TX | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6410 Fannin St
Houston, TX 77030-3000
6410 Fannin St
Suite 510
Houston, TX 77030-3005
Phone (713) 500-5736
6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000
Hospital & facility affiliations
- Camillians Home Health Services LLC
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Hospital System
- Memorial Hermann Sugar Land Hospital
- Memorial Hermann Memorial City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6389 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians Specialty Services | Family Medicine | Current | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
6700 West Loop S
Ste 520
Bellaire, TX 77401
Phone (713) 572-8122
6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736
5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000
6410 Fannin St
Ste 170
Houston, TX 77030
Phone (713) 704-6500
Interoperability endpoints
- diyengar11822@direct.uth.org
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1801945027
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1023398997
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1700817129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 170",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303003",
"telephone_number": "832-325-6500",
"fax_number": "713-512-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 230",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303002",
"telephone_number": "323-256-5008",
"fax_number": "713-512-2203"
}
],
"practiceLocations": [
{
"address_1": "6700 West Loop S Ste 520",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "TX",
"postal_code": "774014139",
"country_code": "US",
"telephone_number": "713-572-8122",
"fax_number": "713-383-1462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IYENGAR",
"first_name": "DEEPA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K6389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044946401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86654J",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.