Individual provider Active NPI

Vandana Naithani, M.D.

  • Family Medicine Physician
  • Midland, TX
National Provider Identifier
1912180241
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10025517 Issued in TX
Practice address
1816 N Midland Dr
Midland, TX 79707-6407
Phone
(432) 699-5111
Fax
(432) 699-0773
NPI assigned
Dec 10, 2007
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10025517 TX Primary

Addresses

Primary practice location

1816 N Midland Dr
Midland, TX 79707-6407

Mailing address

1816 N Midland Dr
Midland, TX 79707-6407
Phone (432) 699-5111

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000646 TX Practitioner - Family Practice 1951442086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1816 N Midland Dr
Midland, TX 79707-6407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10025517TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care I, Inc Family Medicine Past Accepting new patients
Abulbasher M Faizullah MD PA PastSince Feb 19, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vandana.naithani.1@7097.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1912180241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076407",
            "telephone_number": "432-699-5111",
            "fax_number": "432-699-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076407",
            "telephone_number": "432-699-5111",
            "fax_number": "432-699-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAITHANI",
        "first_name": "VANDANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10025517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.