Organization Active NPI

Pranav H Bhakta MD PA

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1881904027
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2849 Issued in TX
Legal business name
PRANAV H BHAKTA MD PA
Practice address
17448 Highway 3
#160
Webster, TX 77598-4197
Phone
(281) 332-6650
Fax
(281) 332-7588
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Pranav H BhaktaNPI 1659485092
Title
Doctor
Phone
(281) 332-6650

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K2849 TX Primary

Addresses

Primary practice location

17448 Highway 3
#160
Webster, TX 77598-4197

Mailing address

PO Box 220
Seabrook, TX 77586-0220
Phone (281) 332-6650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220001155 TX Part B Supplier - Clinic/Group Practice 1052509817 Receives reassigned benefits from 1 practitioner
Practice locations: Webster, TX

National Provider Directory

National Provider Directory

Locations

17448 Highway 3
Ste 160
Webster, TX 77598
Phone (281) 332-6650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDHBA

Practitioners & affiliated clinicians

Practitioners 1

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": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1881904027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775860220",
            "telephone_number": "281-332-6650",
            "fax_number": "281-332-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17448 HIGHWAY 3",
            "address_2": "#160",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984197",
            "telephone_number": "281-332-6650",
            "fax_number": "281-332-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANAV H BHAKTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "PRANAV",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-332-6650"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.