NPIMap

Individual provider Active NPI

Ramesh Bandagorla, M.D.

  • Internal Medicine Physician
  • Azle, TX
National Provider Identifier
1881906790
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R7656 Issued in TX
Practice address
108 Denver TRL
Azle, TX 76020-3614
Phone
(817) 820-4906
NPI assigned
Jul 8, 2010
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052020 CT
Internal Medicine Physician 207R00000X R7656 TX Primary

Addresses

Primary practice location

108 Denver TRL
Azle, TX 76020-3614

Mailing address

108 Denver TRL
Azle, TX 76020-3614
Phone (817) 820-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180904001695 TX Practitioner - Internal MedicinePractitioner - Hospitalist 4082831334 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052020CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2021 Accepting new patients
Tyler Physician Services, PLLC CurrentSince Sep 29, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 15, 2018 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Current Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Sep 29, 2024 Accepting new patients

Locations

1105 Central Expy N
Ste 235
Allen, TX 75013
Phone (972) 747-6042

108 Denver Trl
Azle, TX 76020
Phone (817) 444-8600

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

800 E Dawson St
Fl 4
Tyler, TX 75701
Phone (903) 531-4080

Interoperability endpoints

  • Direct secure messaging: rbandagorla423653@christushealth.direct-ci.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1881906790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DENVER TRL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203614",
            "telephone_number": "817-820-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DENVER TRL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203614",
            "telephone_number": "817-820-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDAGORLA",
        "first_name": "RAMESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "052020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R7656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.