Individual provider Active NPI

Suhani Bhakta

  • Family Medicine Physician
  • Lake Jackson, TX
National Provider Identifier
1952798191
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2814 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801003400 TX Practitioner - Family Practice 9537467014 Reassigns benefits to 1 organization

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
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

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

OrganizationSpecialtyStatusNew patients
Baylor St. Luke's Medical Group Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
JCH Inc PastSince Apr 1, 2021 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: sbhakta455905@direct.stlukeshealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.