Anil K Batta, MD

Individual provider Active NPI Pediatrics Physician · San Benito, TX

NPI 1922012863 · NPPES record last updated Jan 19, 2011

Key facts

NPI
1922012863
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
K3083 (TX)
Practice address
2569 Hwy Business 77
San Benito, TX 78586
Phone
(956) 399-7700
Fax
(956) 399-7702
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K3083TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Batta Pediatric Clinic, PA Pediatrics Past Accepting new patients

Interoperability endpoints

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K3083 TX Yes

Addresses

Primary practice location

2569 Hwy Business 77
San Benito, TX 78586

Mailing address

2569 Hwy Business 77
San Benito, TX 78586
Phone (956) 399-7700

Other identifiers

IdentifierTypeStateIssuer
205139973OtherTXTAX ID #

Other providers in San Benito, TX

All providers in San Benito, TX · Pediatrics Physician in Texas

Sources for this page

Verify at the official NPI Registry.