Individual provider Active NPI

Vanita Satish Bagdure, M.D.

  • Internal Medicine Physician
  • Allen, TX
National Provider Identifier
1780975128
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3032 Issued in TX
Practice address
931 State Hwy 121
Suite 4300
Allen, TX 75013
Phone
(469) 649-9995
Fax
(469) 649-8759
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30302 OK
Hospitalist Physician 208M00000X 30302 OK
Internal Medicine Physician 207R00000X 3032 TX Primary

Addresses

Primary practice location

931 State Hwy 121
Suite 4300
Allen, TX 75013

Mailing address

931 State Hwy 121
Suite 4300
Allen, TX 75013
Phone (469) 649-9995

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
I20220801002084 TX Practitioner - Internal Medicine 5597985689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

931 State Hwy 121
Apt 4300
Allen, TX 75013-1193
Phone (469) 649-9995

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30302OKMDInternal Medicine Physician
3032TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Internists Associates, PLLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Allen Internal Medicine PLLC Internal Medicine CurrentSince Nov 10, 2023 Accepting new patients
Marshall County Hma LLC Past Accepting new patients

Locations

931 State Highway 121
Ste 4300
Allen, TX 75013
Phone (469) 649-9995

331 Melrose Dr
Ste 220
Richardson, TX 75080
Phone (469) 828-1903

275 W Campbell Rd
Ste 260
Richardson, TX 75080

Organizations & group practices 3

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 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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1780975128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 STATE HWY 121",
            "address_2": "SUITE 4300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "469-649-9995",
            "fax_number": "469-649-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 STATE HWY 121",
            "address_2": "SUITE 4300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "469-649-9995",
            "fax_number": "469-649-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDURE",
        "first_name": "VANITA",
        "middle_name": "SATISH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2024-05-31",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "30302",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "30302",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.