Individual provider Active NPI

Savitha Bonthala, D.O., M.P.H.

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Houston, TX
National Provider Identifier
1033551965
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X
License
R8869 Issued in TX
Practice address
1300 Binz St FL 3
Houston, TX 77004-7016
Phone
(713) 285-1000
NPI assigned
Jul 19, 2013
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X R8869 TX Primary

Addresses

Primary practice location

1300 Binz St FL 3
Houston, TX 77004-7016

Mailing address

15403 Bay Cove CT
Houston, TX 77059-5821
Phone (281) 382-4838

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
I20190201000115 TX Practitioner - Physical Medicine and Rehabilitation 0143567461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 441-5189

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8869TXMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurorehabilitation Specialists, PLLC CurrentSince Oct 6, 2018 Accepting new patients

Locations

9297 Wahrenberger Rd
Conroe, TX 77304
Phone (800) 414-4824

1300 Binz St
Fl 3
Houston, TX 77004
Phone (281) 382-4838

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 1

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

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1033551965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15403 BAY COVE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595821",
            "telephone_number": "281-382-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BINZ ST FL 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047016",
            "telephone_number": "713-285-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTHALA",
        "first_name": "SAVITHA",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "TX",
            "license": "R8869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.