Active NPI
Sugandha Kirankumar Bhosrekar, MD
- Psychiatry Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- U6687
- Practice address
- 17720 Corporate Woods Dr
San Antonio, TX 78259-3500 - Phone
- (210) 616-6406
- Fax
- (888) 371-0337
- NPI assigned
- Jun 30, 2014
- Last updated
- Feb 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | U6687 | TX | Primary |
Addresses
Primary practice location
17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Mailing address
PO Box 591790
San Antonio, TX 78259-0139
Phone (573) 307-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Phone (210) 616-6406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Deshpande Healthcare LLC | Psychiatry | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Texas Laurel Ridge Hospital LP | Past | Accepting new patients |
Locations
570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400
Interoperability endpoints
- sbhosrekar241447@direct.valleywisehealth.org
Organizations & group practices 5
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.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1700658572
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1356674469
-
dba Laurel Ridge Treatment Center
- Psychiatric Hospital
- San Antonio, TX
- NPI 1043280951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1891100632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 591790",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782590139",
"telephone_number": "573-307-0500",
"fax_number": "888-371-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17720 CORPORATE WOODS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782593500",
"telephone_number": "210-616-6406",
"fax_number": "888-371-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHOSREKAR",
"first_name": "SUGANDHA",
"middle_name": "KIRANKUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "U6687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Jahnavi Bheemreddy, M.D.
- Arbaaz Bhimani, PHARMD
- Anmol Singh Bhinder, MD
- Marc S. Bhogte, MD
- Kirankumar Dinkar Bhosrekar, MD
- BHS Physician's Network Inc
- BHS Physicians Network Inc (Northeast Orthopaedics & Sports Medicine)
- BHS Physicians Network, Inc (Orthopedic Performance Institute)
- BHS Physicians Network, Inc (Alamo Orthopedics)
- BHS Physicians Network, Inc (Orthopedic Performance Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
- 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.