Active NPI
Suhani Bhakta
- Family Medicine Physician
- Lake Jackson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R2814
- Practice address
- 210 Lake Rd Ste 300
Lake Jackson, TX 77566-4982 - Phone
- (979) 285-9455
- NPI assigned
- Apr 24, 2015
- Last updated
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R2814 | TX | Primary |
Addresses
Primary practice location
210 Lake Rd Ste 300
Lake Jackson, TX 77566-4982
Mailing address
17521 St Lukes Way Ste 180
The Woodlands, TX 77384-8040
Phone (936) 266-3516
Other practice location 1
2353 N Main St
Vidor, TX 77662-2610
Phone (409) 813-1677
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
208 Oak Dr S
Suite 200
Lake Jackson, TX 77566-5640
Phone (979) 285-3633
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor St. Luke's Medical Group | Family Medicine | Current | Accepting new patients |
| JCH Inc | Past | Accepting new patients | |
| Qamar U Arfeen MD PA | Past | Accepting new patients |
Locations
120 Flag Lake Dr
Ste 1
Lake Jackson, TX 77566
Phone (979) 299-6900
208 Oak Dr S
Ste 200
Lake Jackson, TX 77566
Phone (979) 285-1802
210 Lake Rd
Ste 300
Lake Jackson, TX 77566
Phone 7137981750 ext. 2
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
17521 St Lukes Way
Ste 180
The Woodlands, TX 77384
Phone (281) 794-4062
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIHBCA
- sbhakta455905@direct.stlukeshealth.org
- suhani.bhakta@memc.eclinicaldirectplus.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.
-
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1740485879
Family Medicine
-
- Specialist
- Beaumont, TX
- NPI 1841488145
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Brazosport Memorial Hospital &Brazosport Regional Health System
- General Acute Care Hospital
- Lake Jackson, TX
- NPI 1972581940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1952798191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17521 ST LUKES WAY STE 180",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773848040",
"telephone_number": "936-266-3516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LAKE RD STE 300",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664982",
"telephone_number": "979-285-9455"
}
],
"practiceLocations": [
{
"address_1": "2353 N Main St",
"address_purpose": "LOCATION",
"city": "Vidor",
"state": "TX",
"postal_code": "776622610",
"country_code": "US",
"telephone_number": "409-813-1677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHAKTA",
"first_name": "SUHANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R2814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.