NPIMap

Organization Active NPI

Geriatric & Palliative Care Associates,PA

  • Geriatric Medicine (Family Medicine) Physician
  • Shenandoah, TX
National Provider Identifier
1770038549
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
GERIATRIC & PALLIATIVE CARE ASSOCIATES,PA
Practice address
150 Pine Forest Dr
Suite 110
Shenandoah, TX 77384-5302
Phone
(281) 709-2555
Fax
(281) 440-9915
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Bharat Latthe, MDNPI 1922050186
Title
Owner
Phone
(346) 305-8313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X

Addresses

Primary practice location

150 Pine Forest Dr
Suite 110
Shenandoah, TX 77384-5302

Mailing address

150 Pine Forest Dr Ste 110
Shenandoah, TX 77384-5303
Phone (281) 709-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161017002450 TX Part B Supplier - Clinic/Group Practice 8628366135 Receives reassigned benefits from 11 practitioners
Practice locations: Shenandoah, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2085480Geriatric and Palliative Care Associates PA150 Pine Forest Drive Suite 110, Shenandoah, TX 77384Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory

Locations

150 Pine Forest Dr
Ste 110
Shenandoah, TX 77384
Phone (281) 709-2555

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1770038549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "281-709-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR",
            "address_2": "SUITE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "281-709-2555",
            "fax_number": "281-440-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC & PALLIATIVE CARE ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "LATTHE",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-305-8313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.