Bibin Sanju, PMHNP

Nurse practitioner in Trophy Club, Texas · NPI 1538015748

Bibin Sanju is one of 14 nurse practitioners practicing in Trophy Club, Texas. Bibin Sanju practices with Kotel Atx.

Registry record (NPPES)

NPI: 1538015748
Type: Type 1 · Individual
Primary taxonomy: Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file: 2800 E Texas Highway 114
Trophy Club, TX 76262-5033
(855) 204-2502
Enumerated: Mar 9, 2026
Record last updated: Apr 9, 2026
License states listed: TX

Medicare (CMS)

Enrollment: Medicare-enrolled in TX
Nurse Practitioner
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

Trophy Club, TX 76262
(512) 777-2591
Austin, TX 78746
(512) 777-2591

More nurse practitioners in Trophy Club

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.