Organization Active NPI

Banerji Plastic Surgery

  • Plastic Surgery Physician
  • Webster, TX
National Provider Identifier
1902369101
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BANERJI PLASTIC SURGERY
Practice address
135 Water St
Webster, TX 77598-5389
Phone
(281) 971-9711
NPI assigned
Apr 13, 2019
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Soumo Banerji, MDNPI 1588829527
Title
Owner
Phone
(832) 243-4769

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

135 Water St
Webster, TX 77598-5389

Mailing address

1812 Grace Xing
Friendswood, TX 77546-1534
Phone (281) 971-9711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190521000564 TX Part B Supplier - Clinic/Group Practice 7618210386 Receives reassigned benefits from 1 practitioner
Practice locations: Webster, TX

National Provider Directory

National Provider Directory

Locations

135 Water St
Webster, TX 77598
Phone (281) 971-9711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1902369101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 GRACE XING",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775461534",
            "telephone_number": "281-971-9711",
            "fax_number": "281-407-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WATER ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985389",
            "telephone_number": "281-971-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANERJI PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-13",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BANERJI",
        "authorized_official_first_name": "SOUMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-243-4769",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "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 Jan 25, 2024; 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.