Individual provider Active NPI

Elizabeth Miriam Thoyakulathu, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1013476498
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U0862 Issued in TX
Practice address
1711 Old Spanish TRL Apt 127
Houston, TX 77054-1955
Phone
(214) 274-5341
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 U0862 TX Primary

Addresses

Primary practice location

1711 Old Spanish TRL Apt 127
Houston, TX 77054-1955

Mailing address

1711 Old Spanish TRL Apt 127
Houston, TX 77054-1955
Phone (214) 274-5341

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
I20230320000178 TX Practitioner - Family Practice 2567836307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians

Practice addresses (Care Compare)

12930 E Fwy
Spine Orthopedic and Pain Surgical PA
Houston, TX 77015-5710
Phone (281) 984-8799

Hospital & facility affiliations

  • Ad Hospital East, LLC Hospital, Houston, TX, CCN 670102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U0862TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarojini Bose MD PA CurrentSince Mar 20, 2024 Accepting new patients
Advanced Surgeons & Physicians Network, Inc. Family Medicine CurrentSince Feb 1, 2026 Accepting new patients

Locations

1315 W Main Ave
#13A
Alton, TX 78573
Phone (956) 432-0222

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

12930 East Fwy
Houston, TX 77015
Phone (281) 704-3836

801 E Nolana Ave
Ste 13A
McAllen, TX 78504
Phone (956) 686-2700

801 E Nolana Ave
Ste 6
McAllen, TX 78504
Phone (956) 668-7333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1013476498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 OLD SPANISH TRL APT 127",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541955",
            "telephone_number": "214-274-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 OLD SPANISH TRL APT 127",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541955",
            "telephone_number": "214-274-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOYAKULATHU",
        "first_name": "ELIZABETH",
        "middle_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U0862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.