Organization Active NPI

Pearland Neurology Services, PLLC

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1013535020
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PEARLAND NEUROLOGY SERVICES, PLLC
Practice address
11914 Astoria Blvd Ste 400
Houston, TX 77089-6049
Phone
(281) 481-4236
Fax
(281) 481-0448
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shahbuddin Mukardamwala, MDNPI 1477717320
Title
Physician
Phone
(281) 481-4236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

11914 Astoria Blvd Ste 400
Houston, TX 77089-6049

Mailing address

9923 Walker Meadow Way
Houston, TX 77089-1559
Phone (646) 944-3784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200806001373 TX Part B Supplier - Clinic/Group Practice 6103241286 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1013535020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 WALKER MEADOW WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891559",
            "telephone_number": "646-944-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896049",
            "telephone_number": "281-481-4236",
            "fax_number": "281-481-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND NEUROLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "MUKARDAMWALA",
        "authorized_official_first_name": "SHAHBUDDIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-481-4236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.