Individual provider Active NPI

Mayur Bhagvanji Kanjia, M.D.

  • Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1932424751
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
Q4612 Issued in TX
Practice address
17270 Red Oak Dr
Suite 200
Houston, TX 77090-2618
Phone
(281) 440-6960
Fax
(281) 440-6205
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Q4612 TX
Anesthesiology Physician 207L00000X Q4612 TX
Pain Medicine Physician 208VP0000X Q4612 TX Primary
Interventional Pain Medicine Physician 208VP0014X Q4612 TX

Addresses

Primary practice location

17270 Red Oak Dr
Suite 200
Houston, TX 77090-2618

Mailing address

17270 Red Oak Dr
Suite 200
Houston, TX 77090-2618
Phone (281) 440-6960

Other identifiers 1

IdentifierTypeStateIssuer
Q4612OtherTXMEDICAL LICENSE

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
I20150930002552 TX Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 6204144868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management
Education
University of Arkansas College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

111 Vision Park Blvd
Shenandoah, TX 77384-3002
Phone (281) 845-3378

Hospital & facility affiliations

  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Dec 17, 2021 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 17, 2021 Accepting new patients
BHS Physicians Network, Inc Current Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
New Medical Horizons II, LTD. Interventional Pain Medicine Past Accepting new patients

Locations

17270 Red Oak Dr
Ste 205
Houston, TX 77090

18220 Tomball Pkwy
Ste 200
Houston, TX 77070
Phone (281) 890-4448

13333 Dotson Rd
Ste 180
Houston, TX 77070
Phone (832) 912-7804

17270 Red Oak Dr
Houston, TX 77090
Phone (281) 440-7625

17270 Red Oak Dr
Ste 190
Houston, TX 77090

5655 W Sam Houston Pkwy N
Houston, TX 77041
Phone (281) 500-8900

17270 Red Oak Dr
Ste 200
Houston, TX 77090

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

111 Vision Park Blvd
Shenandoah, TX 77384
Phone (936) 271-1011

2255 E Mossy Oaks Rd
Ste 440
Spring, TX 77389

2209 Spring Stuebner Rd
Ste 500
Spring, TX 77389

Interoperability endpoints

  • Direct secure messaging: mayur.kanjia.1@1438.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1932424751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17270 RED OAK DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902618",
            "telephone_number": "281-440-6960",
            "fax_number": "281-440-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 RED OAK DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902618",
            "telephone_number": "281-440-6960",
            "fax_number": "281-440-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANJIA",
        "first_name": "MAYUR",
        "middle_name": "BHAGVANJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q4612",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q4612",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "Q4612",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q4612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "Q4612",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.