NPIMap

Organization Active NPI

Geriatric Home Care Physicians PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Sugar Land, TX
National Provider Identifier
1952348229
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
L7979 Issued in TX
Legal business name
GERIATRIC HOME CARE PHYSICIANS PA
Practice address
16605 Southwest Fwy
Suite 175
Sugar Land, TX 77479-3501
Phone
(281) 565-1112
Fax
(281) 565-1102
NPI assigned
Jun 2, 2006
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Arusha A Bavare, M.D.NPI 1730127770
Title
Principal Partner
Phone
(281) 565-1112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X L7979 TX Primary
Adult Health Nurse Practitioner 363LA2200X

Addresses

Primary practice location

16605 Southwest Fwy
Suite 175
Sugar Land, TX 77479-3501

Mailing address

PO Box 17685
Sugar Land, TX 77496-7685
Phone (281) 565-1112

Other identifiers 1

IdentifierTypeStateIssuer
164648101MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1952348229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17685",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774967685",
            "telephone_number": "281-565-1112",
            "fax_number": "281-565-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "281-565-1112",
            "fax_number": "281-565-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC HOME CARE PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "BAVARE",
        "authorized_official_first_name": "ARUSHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRINCIPAL PARTNER",
        "authorized_official_telephone_number": "281-565-1112",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L7979",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164648101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.