MS. MIMI CHANDRABOSE PA-C
NPI 1336402700
Physician Assistant - Medical in Houston, TX

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
3003 S LOOP W, 210, HOUSTON, TX 77054(713) 662-9500(713) 662-9501 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mimi Chandrabose Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MIMI CHANDRABOSE PA-C (NPI 1336402700) is an individual medical provider in Houston, Texas, licensed in Texas (PA06143) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1336402700
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MIMI CHANDRABOSECredential: PA-C
Location Address3003 S LOOP W, 210Houston, TX 77054-1301
Mailing Address3003 S Loop W, 210Houston, TX 77054-1301 · (713) 662-9500 · Fax (713) 662-9501
Fax(713) 662-9501
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 20, 2012
NPI 1336402700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA06143
3003 S LOOP W, Houston, TX 77054

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Mimi Chandrabose Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052603966
PECOS Enrollment IDI20230907000326
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3003 S LOOP W, SUITE 210
HOUSTON, TX 77054
Community/Behavioral Health
3003 S LOOP W, SUITE 410
HOUSTON, TX 77054
Case Management
3003 S LOOP W, STE 320
HOUSTON, TX 77054
Community Health Worker
3003 S LOOP W, SUITE 410
HOUSTON, TX 77054
Social Worker (Clinical)
3003 S LOOP W, 475
HOUSTON, TX 77054
Obstetrics & Gynecology
3003 S LOOP W, SUITE 410
HOUSTON, TX 77054
Family Medicine
3003 S LOOP W, SUITE 204
HOUSTON, TX 77054
Marriage & Family Therapist
3003 S LOOP W, SUITE 475
HOUSTON, TX 77054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi Chandrabose's NPI number?

The NPI number for Mimi Chandrabose is 1336402700. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Mimi Chandrabose located?

Mimi Chandrabose practices at 3003 S Loop W 210, Houston, TX 77054. The listed phone number is (713) 662-9500.

What is Mimi Chandrabose's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mimi Chandrabose enrolled in Medicare?

Yes. Mimi Chandrabose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mimi Chandrabose accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Mimi Chandrabose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mimi Chandrabose was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.