Active NPI
Bhanu Prakash Maturi, M.B.B.S.
- Student in an Organized Health Care Education/Training Program
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- V0470
- Practice address
- 6400 Fannin St Ste 2350
Houston, TX 77030-1554 - Phone
- (713) 704-4300
- Fax
- (713) 704-4355
- NPI assigned
- Apr 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34528 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | V0470 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St Ste 2350
Houston, TX 77030-1554
Mailing address
1007 Old Breckenridge LN
Montgomery, AL 36117-8952
Phone (334) 777-9303
Other practice location 1
2055 E South Blvd
Montgomery, AL 36116-2001
Phone (334) 551-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34528 | AL | MD | Internal Medicine Physician |
| V0470 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Physician Group, LLP | Internal Medicine | Current | Accepting new patients |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Internal Medicine | Current | Accepting new patients |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Ut Physicians | Internal Medicine | Past | Accepting new patients |
Locations
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661
1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930
Interoperability endpoints
- bhanu.maturi@direct.baptistfirst.org
Organizations & group practices 6
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
- Montgomery, AL
- NPI 1982653390
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715472000000",
"number": "1790042802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 OLD BRECKENRIDGE LN",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178952",
"telephone_number": "334-777-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 2350",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301554",
"telephone_number": "713-704-4300",
"fax_number": "713-704-4355"
}
],
"practiceLocations": [
{
"address_1": "2055 E South Blvd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361162001",
"country_code": "US",
"telephone_number": "334-551-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATURI",
"first_name": "BHANU",
"middle_name": "PRAKASH",
"credential": "M.B.B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-13",
"last_updated": "2024-05-12",
"certification_date": "2024-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "34528",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "V0470",
"primary": true
}
],
"identifiers": [],
"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 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.