Individual provider Active NPI

Bushra Kanwal, M.D.

  • Internal Medicine Physician
  • Pasadena, TX
National Provider Identifier
1740844364
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U4235 Issued in TX
Practice address
138B Fairmont Pkwy
Pasadena, TX 77504-2740
Phone
(281) 707-7353
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 U4235 TX Primary

Addresses

Primary practice location

138B Fairmont Pkwy
Pasadena, TX 77504-2740

Mailing address

PO Box 746079
Atlanta, GA 30374-6079
Phone (773) 352-1515

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
I20230825002422 TX Practitioner - Internal Medicine 0446613210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

138 B Fairmont Pkwy
Pasadena, TX 77504-2740
Phone (281) 707-7353

1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075

3500 Little York Rd
A 5
Houston, TX 77093-3658
Phone (281) 707-7358

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U4235TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Internal Medicine CurrentSince Aug 21, 2023 Accepting new patients

Locations

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

138B Fairmont Pkwy
Pasadena, TX 77504
Phone (281) 707-7353

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Interoperability endpoints

  • Direct secure messaging: bkanwal298040@direct.phhs.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1740844364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138B FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042740",
            "telephone_number": "281-707-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANWAL",
        "first_name": "BUSHRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U4235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.