Individual provider Active NPI

Mohit Bansal, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1942422852
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3476 Issued in TX
Practice address
3139 W Holcombe Blvd
#672
Houston, TX 77025-1533
Phone
(832) 592-7712
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N3476 TX Primary
Emergency Medicine Physician 207P00000X N3476 TX

Addresses

Primary practice location

3139 W Holcombe Blvd
#672
Houston, TX 77025-1533

Mailing address

3139 W Holcombe Blvd
#672
Houston, TX 77025-1533
Phone (832) 592-7712

Other identifiers 1

IdentifierTypeStateIssuer
205504801MedicaidTX

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
I20090917000393 TX Practitioner - Family Practice 4284780172 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Regional PhysiciansGroup PAC ID 5193149706, 15 clinicians

Practice addresses (Care Compare)

8301 Katy Fwy
Suite 101
Houston, TX 77024-1945
Phone (713) 677-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3476TXMDFamily Medicine Physician
TEMPORARYTXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Mehta Medical Group PLLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Texas Regional Physicians CurrentSince Jan 21, 2024 Accepting new patients
Singleton Associates PA Past Accepting new patients
Texas Regional Clinic Past Accepting new patients

Locations

8301 Katy Fwy
Ste 101
Houston, TX 77024
Phone (713) 489-1741

1900 North Loop W
Ste 670
Houston, TX 77018
Phone (281) 673-4360

8301 Katy Fwy
Ste 100
Houston, TX 77024

1702 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 446-7371

17903 W Lake Houston Pkwy
Ste 201
Humble, TX 77346
Phone (281) 446-7371

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25596/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mohit.bansal.1@25596.direct.athenahealth.com

Organizations & group practices 6

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1942422852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD",
            "address_2": "#672",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251533",
            "telephone_number": "832-592-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD",
            "address_2": "#672",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251533",
            "telephone_number": "832-592-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "MOHIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3476",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N3476",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205504801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.