Individual provider Active NPI

Bhavna Patel

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1891430534
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1076021 Issued in TX
Practice address
1109 Champions Dr
Lufkin, TX 75901-7451
Phone
(936) 229-8695
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1076021 TX Primary

Addresses

Primary practice location

1109 Champions Dr
Lufkin, TX 75901-7451

Mailing address

1109 Champions Dr
Lufkin, TX 75901-7451
Phone (193) 622-9869

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210003546 TX Practitioner - Nurse Practitioner 5597244459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Malladi and Reddy, PAGroup PAC ID 5395917843, 4 clinicians

Practice addresses (Care Compare)

319 Gaslight Blvd
Lufkin, TX 75904-3124
Phone (936) 634-3713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1076021TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Malladi & Reddy, PA CurrentSince Jan 4, 2026 Accepting new patients

Locations

319 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-3713

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1891430534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CHAMPIONS DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017451",
            "telephone_number": "193-622-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CHAMPIONS DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017451",
            "telephone_number": "936-229-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1076021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.