KARTHIK BHANDARI
NPI 1639527500
Internal Medicine in Houston, TX

Q: What is Karthik Bhandari's NPI number?

The NPI number for Karthik Bhandari is 1639527500. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Karthik Bhandari's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Karthik Bhandari was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 01, 2016PECOS EnrolledAccepts Medicare Assignment

82.38/100

CMS Quality Rating

6431 FANNIN ST, SUITE MSB 1.134, HOUSTON, TX 77030(713) 500-6500 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 15, 2023, Jul 13, 2020 (2 updates tracked since 2020).

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About Karthik Bhandari NPPES

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

KARTHIK BHANDARI (NPI 1639527500) is an individual internal medicine provider in Houston, Texas, licensed in Texas (S4727) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of Texas Medical School At Houston (2016).

NPPES Registry Identity

NPI1639527500

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKARTHIK BHANDARI

Location Address6431 FANNIN ST, SUITE MSB 1.134Houston, TX 77030-1501

Mailing Address6431 Fannin Street, Suite Msb 1.134Houston, TX 77030-5389 · (713) 500-6437

Phone(713) 500-6500

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2016

Enumeration DateJune 1, 2016

Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2023

✔ NPI 1639527500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · S4727

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License S4727 (TX)

6431 FANNIN ST, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Karthik Bhandari 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 ID4284055906

PECOS Enrollment IDI20200605000642

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

95 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.23

Promoting Interoperability

100

Improvement Activities

Cost

58.5

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$43.69 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$15.17 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims16 services$67.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. STUART MASON FRASER M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

6431 FANNIN ST, MSB 3.151
HOUSTON, TX 77030

Harris County (713) 500-5800

AMY ROSSI MD

Emergency Medicine

6431 FANNIN ST, JJL 431
HOUSTON, TX 77030

Harris County (713) 500-7882

MATTHEW KHOA NGUYEN

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-6113

MARY WAYNE PELTIER MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-5010

HANNA MAVRIC DO

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-7882

DR. DAVIDE CATTANO MD

Anesthesiology

6431 FANNIN ST, MSB 5.020
HOUSTON, TX 77030

Harris County (713) 500-6235

MICHAEL ANTHONY HOLZMAN

Orthopaedic Surgery

6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX 77030

Harris County (713) 500-5154

SHUBHANGI MEHRA

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-0798

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 Karthik Bhandari's NPI number?

The NPI number for Karthik Bhandari is 1639527500. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Karthik Bhandari located?

Karthik Bhandari practices at 6431 Fannin St Suite Msb 1.134, Houston, TX 77030. The listed phone number is (713) 500-6500.

What is Karthik Bhandari's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karthik Bhandari enrolled in Medicare?

Yes. Karthik Bhandari 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 Karthik Bhandari accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Karthik Bhandari 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.

Is Karthik Bhandari affiliated with any hospitals?

According to CMS data, Karthik Bhandari is affiliated with Memorial Hermann - Texas Medical Center and Harris Health System.

When was this NPI record last updated?

The NPPES record for Karthik Bhandari was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.