NIDRAVEDA, P.A.
NPI 1457773350
Clinic/Center - Medical Specialty in Shavano Park, TX

Q: What is Nidraveda, P.A.'s NPI number?

The NPI number for Nidraveda, P.A. is 1457773350. It was assigned to this organization in the NPPES registry on January 10, 2014.

Q: What is Nidraveda, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Q: When was this NPI record last updated?

The NPPES record for Nidraveda, P.A. was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 10, 2014

4358 LOCKHILL SELMA RD STE 106, SHAVANO PARK, TX 78249(210) 686-5000(210) 239-5060 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2019, Feb 28, 2018 (2 updates tracked since 2018).

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About Nidraveda, P.a. NPPES

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

NIDRAVEDA, P.A. (NPI 1457773350) is a healthcare organization registered as a medical specialty in Shavano Park, Texas and active in the NPI registry since January 2014. The organization maintains a secondary practice location in San Antonio and lists Hanul S Bhandari, Owner, as its authorized official.

NPPES Registry Identity

NPI1457773350

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameNIDRAVEDA, P.A.

Location Address4358 LOCKHILL SELMA RD STE 106Shavano Park, TX 78249-4167

Mailing Address4358 Lockhill Selma Rd Ste 106Shavano Park, TX 78249-4167 · (210) 686-5000

Phone(210) 686-5000

Fax(210) 239-5060

Organization SubpartNo

Authorized OfficialHanul S BhandariOwner · (210) 686-5000

Enumeration DateJanuary 10, 2014

Last NPPES UpdateMay 22, 20192 updates tracked since enumeration

✔ NPI 1457773350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in TX · P2828

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X · License P2828 (TX)

4358 LOCKHILL SELMA RD STE 106, Shavano Park, TX 78249

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Secondary Practice Location 1

Location 14402 Vance Jackson Rd Ste 248San Antonio, TX 78230-5334 · Phone (210) 686-5000 · Fax (210) 239-5060

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidraveda, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nidraveda, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Hanul Bhandari, MD

Neurology

NPI 1053572164

4358 LOCKHILL SELMA RD STE 106
Shavano Park, TX 78249

(210) 686-5000

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nidraveda, P.A.'s NPI number?

The NPI number for Nidraveda, P.A. is 1457773350. It was assigned to this organization in the NPPES registry on January 10, 2014.

Where is Nidraveda, P.A. located?

Nidraveda, P.A. is located at 4358 Lockhill Selma Rd Ste 106, Shavano Park, TX 78249. The listed phone number is (210) 686-5000.

What is Nidraveda, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Nidraveda, P.A. enrolled in Medicare?

Yes. Nidraveda, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nidraveda, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Nidraveda, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nidraveda, P.A. was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.